NOTCHVIEW would like to offer a warm welcome to the newest member of our medical staff. Dr. Bolanle Akingboye joins our medical team this fall. She completed her medical school education in New Jersey and her internship and residency in Brooklyn. Most recently she was working in New York City in a private pediatric facility affiliated with New York-Presbyterian Hospital and Mt. Sinai Hospital in Manhattan. Her diverse background will help to expand Notchview’s standards of care in pediatrics and will enhance our dedicated commitment to have a family friendly approach, ready accessibility and communicative parent-patient encounters. Consistent with our program, she is Board Certified in Pediatrics
WHAT A DEAL: OFFICE HOURS EVERY DAY-365
This is a perk that can’t be overstated. If you need us, we are here. The Clifton office is open every day of the year; weekends and holidays as well as Monday through Friday. Also remember that the Clifton office offers early morning, no appointment walk-in hours starting at 7:30AM-8:30AM, Monday through Friday. Walk-in hours are only for sickness and injury visits.
FLU VACCINE TIME-AGAIN
Cold and flu season is upon us and we ready ourselves for increasing respiratory illness and, of course, influenza “Flu”. Vaccine is currently available and we will begin to administer vaccine on 9/18/17. At the time of writing, only injectable (killed virus) vaccine is available. Anyone over six (6) months of age can receive vaccine and it is recommended. If your child is in childcare i.e. daycare, preschool or nursery settings, flu vaccine is mandated before December 31. The childcare centers are quite strict as to compliance as the NJ State Department of Health inspects these preschool settings and the centers can be sanctioned. Notchview only offers the best available vaccine i.e. 4 components (quadrivalent) and preservative free. The current ingredients include two (2) A strains (H1N1 and H3N2) and (2) B strains (Bisbrane and Florida). Don’t be fooled, some urgicenters/pharmacies are offering inferior flu vaccines i.e. trivalent with preservative. Live virus (nose spray administered) is currently not approved.
VIOLENCE IN OUR SOCIETY-WE HAVE TO FIGHT BACK by Bolanle Akingboye, DO
"Ladies and gentlemen, welcome to the fight of all fights! In this corner we have our precious children, the next generation! In that corner we have the incessant violence our children are exposed to almost daily!” Terrorism, gun violence, police brutality, deadly road rage, murder-suicides, and cyber bullying have become commonplace. We can't become desensitized to it and allow violence to win in that fight. Children need a safe space at home and at school to grow, develop, and soak up their education. Turning off the television, limiting exposure to social media, and avoiding violent video games cannot fully eliminate the harmful effects of exposure to violence on our children. Children exposed to violence have an increased risk for anxiety, depression, and suicide. It is important that you discuss violence with your children. Let them know they are safe with you and teach them how to identify violence in all its forms. Whether it's cyber bullying, stalking, hazing, gang violence, or teen dating violence, our children need to know how to recognize it and then get help. Our children need to know that violence is unacceptable in any form. Recent studies have shown about twenty percent (20%) of students have been bullied, some as young as nine years old. Of those bullied only about 40% report it. These stats are even worse for children with disabilities. So talk to your children to see if violence has crept into their social and/or academic sphere. Check out healthychildren.org for links to resources regarding how to start the conversation. Did you know you can decrease your child's risk of accidental death and suicide by storing and locking up the firearm and its ammunition separately, hidden from children in your home? Don't forget we are also here to help. You can also bring your child in for a visit. Notchview Pediatrics is always a safe space. Here's to a violence-free school year.
DRY DROWNING: A MISNOMER OR AN OXYMORON? by Lois Honcharuk, PNP
A few years ago, the words ‘dry drowning’ appeared on Facebook. Since then, fear has been instilled in all parents and that fear was elevated this year by the death of a child in Texas diagnosed with ‘dry drowning’ four days after being in water. Water accidents happen to all children at some time but please don’t be water phobic. Parents have many worries about their children, but ‘dry drowning’ should not be one of them. Children need baths and swimming provides the fun and exercise that they require. Dry drowning, near drowning and secondary drowning are not acceptable medical conditions/terms and their use is discouraged by the academic medical community. Drowning itself is the process of experiencing respiratory compromise from immersion and inhalation of a liquid leading to a variety of respiratory symptoms quickly evolving and leading to death. Death is due to the lack of oxygen. All other events that are not life ending are better characterized as near-drowning. If your child seems fine without respiratory complaints after a water accident, there should be very little parental concern. Pneumonitis, or inflammation in the lungs, may occur following a near-drowning episode. This lung inflammation does not occur following two or three days of having no symptoms. Children with lung inflammation related to inhaled fluid, have clearly worsening respiratory symptoms. Children may experience cough, wheeze, shortness of breath, vomiting and fatigue. Parents will recognize that their children need medical attention. In these instances, the child should be taken to the emergency room. Don't let fear of drowning distract you from the issue at hand, i.e. water safety. Drowning is the leading preventable cause of death in children. Supervision of children around water is always essential. All children should be taught to swim. Teaching children to blow bubbles under water may lessen the likelihood of accidentally inhaling water. Life jackets are the gold standard when using flotation devices. Remember infants and very young children can not be taught to swim despite the advertisement of ‘swimming lessons’. These usually represent only a water activity orientation.
Study Contradicts AAP Recommendation on Infant Room-Sharing by Lai Ping Lew, MD
There are about 3,500 infant deaths annually due to SIDS and other sleep related deaths. The American Academy of Pediatrics (AAP) has recommended that infants should sleep on separate surfaces in their parents’ rooms for at least 6 months or even for 1 year. A prospective study by Dr. Ian Paul analyzed data from questionnaires of 279 mothers of single births and found that solo-sleeping infants slept for longer periods compared to the room-sharers. There was no difference in sleep duration during the first 4 months of life because infants were being fed throughout the night. However, solo-sleepers had an average of 46 more minutes of sleep consolidation. Infants at 9 months of age who slept alone by 4 months averaged 40 more minutes of sleep than the room-sharers and 26 more minutes than those that began sleeping alone between 4-9 months. It was noted that at 30 months of age, those who slept alone by 9 months, averaged 45 minutes more of sleep than those room-sharers. The study also found that room-sharing at 4 months of age had a two fold increase in risk of having pillows, blankets, and other unsafe objects found on the same sleeping surfaces and an increase rate of overnight transitioning to bed sharing, all of which are strongly discouraged by the AAP. The authors of the study suggested that the 2016 AAP sleep recommendation of infant room-sharing be revised until further evidence supports it, to promote better sleep consolidation that is beneficial for both parents and infants.
AAP and Digital Media Use in Preschoolers by Ruba Hanna, MD
Parents are encouraged to limit digital media use among children aged 2 to 5 years to 1 hour per day. Children younger than 2 years need hands-on exploration and social interaction with trusted caregivers in order to develop their cognitive, language, motor and social-emotional skills. Excessive digital media use during a child’s first 5 years has shown evidence of harm leading to obesity later in childhood, shorter night-time sleep intervals, reduced academic performance in preschool and difficult temperament or self-regulation problems. Parents are encouraged to avoid media use for children younger than 18 months, and to share media use with children between 18 and 24 months. Parents need to find alternate play activities, should avoid using media to sooth a temperamental child and monitor media content and apps the child chooses. Parent’s engagement with their children around technology and changing to educational and pro-social content will allow children to reap the most benefit from what they view.
Tattoo and Piercing-Maybe Re-think??
Everyone is aware the issues for tattooing and piercing. Permanency and infection and of course, the distortion of image with advancing age are known concerns. A new study suggests that over 70% of participants in this body re-modeling feel that it resulted in less than opportune job positions and that their positions were below standard and wage related to the inking and piercing. We understand the expressive nature of this trend but please be aware of other considerations.
Important Disclaimer: The information on notchviewpediatrics.com is provided as a supportive service to Notchview Pediatrics, LLC and is not meant to replace the advice of the physicians and nurses who care for your child. All medical advice, information, and recommendations should be considered to be incomplete without a comprehensive evaluation by the physicians at Notchview Pediatrics, LLC.