choose a pediatrician

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“Parenthood is a long and wonderful journey and having a medical professional who is caring and understanding from the beginning is an important part of this experience,” says Edisa Padder, M.D., a pediatrician on staff at HCGH. “Every parent should feel their pediatrician cares about their child as if they are their own. Your pediatrician’s office should be your medical home, where all your child’s medical needs are met.”

One way to get started finding a pediatrician is to ask for referrals from family and friends. Your next step should be visiting the pediatrician’s office and meeting with the doctor, even before your baby is born. “A few issues to consider when choosing a pediatrician are the willingness of the pediatrician to listen and hear your concerns about your child, whether a simple question or complex medical issue,” explains Dr. Padder. “If you have a trusting relationship with your pediatrician, even a difficult situation becomes more manageable.”

Understand whether your pediatrician works full- or part-time and who you talk to or see after hours. “You want to talk to a physician who knows your family so he/she can give you proper guidance and advice,” explains Dr. Padder. “When your child gets sick after office hours, you should call your pediatrician’s answering service for guidance — if you know it is truly an emergency, go to the emergency room. If you are not sure whether your concern requires an urgent evaluation, please contact your pediatrician on call immediately. Additionally, you want to know how easy it is to get an appointment if your child is sick or for a well-child visit.”

Choose a doctor who shares your parenting philosophy and style and sees eye-to-eye with you on issues such as feeding, antibiotics, colic and sleep problems. Decide whether you want a solo practitioner or group practice and check the pediatrician’s training and credentials. “Know your initials,” says Dr. Padder. An M.D. attended medical school, did three years of residency and passed American Board of Pediatrics examinations. FAAP after a doctor’s name signifies a fellow of the American Academy of Pediatrics. Also trained to work with children are medical doctors who are family practitioners, nurse practitioners (NPs) and physician’s assistants (PAs).

In addition to family and friends, other sources for finding a pediatrician include the Howard County General Hospital Find A Doctor, your insurance’s website and the American Academy of Pediatrics .

Visiting the Office
When visiting potential pediatrician offices, ask questions:

  1. Is the doctor in a group practice?
  2. Does another physician cover for the doctor at times?
  3. Is there a nurse in the office who can answer routine questions?
  4. Who handles phone calls when the office is closed?
  5. Is your insurance accepted?
  6. What is the office policy on taking and returning phone calls?
  7. A question to ask yourself: Are the physician and office staff courteous? Do they show compassion and patience or did you feel rushed?
Edisa Padder, M.D., is a pediatrician with Padder Health Services in Columbia. Call for an appointment, 301-560-4747

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trio booksAs you may already know, the Central Branch of HCLS closed its doors for an exciting three-month renovation (it’s going to be so cool when it reopens!). Central team members have been temporarily relocated to the East Columbia and Miller Branches during this time. Both East Columbia and Miller have been welcoming and accommodating beyond belief. Moving, however, is never without stress, confusion, and a bit of nerves. It occurred to me, as an adult woman, that if a temporary move into a more-than-friendly territory gives me the jitters, then a young person encountering his or her first move into a new home must be completely freaked out.

So if you’re getting ready to move and you’ve lost your mind (as well as your keys and match to every other sock) in a slew of boxes, and you haven’t accidentally packed the kids, then they may be just as stressed out, if not more so, than you. The first thing you can do is head to the library and pick up some books that might ameliorate your kids’ unease.

peanut butter and cupcakeOne of my favorites out of the gate is one from our Summer Reading 2015 picks, Peanut Butter & Cupcake by Terry Border. A simple tale about newly transplanted Peanut Butter who wanders around his new town with a soccer ball looking for a new friend to play with. Don’t be fooled by the simplicity and humor of this story; one of the biggest fears of a child who is moving is finding new friends.

lenny and lucyContinuing with the theme of friendship, but also focusing on the anxiety caused by how “scary” a new place can be, is the charming Lenny & Lucy by Phillip C. Stead. This American Library Association Notable Books for Children pick and Publishers Weekly Best Book of the Year for 2015 will reassure your kids that their feelings are perfectly normal and that things will get easier.

before i leaveBefore I Leave by Jessixa Bagley takes a different tack. This sweetly sad picture book focuses on the fear of leaving behind a beloved friend with a new move. And the heartwarming Ice in the Jungle by Ariane Hofmann-Maniyar touches on the loss of the familiar and how alien a new place can seem. While Eve Bunting’s Yard Sale explores the theme of loss even more deeply as the main character must watch her family sell off some of their possessions to move from a house to an apartment. And if you want a book that that’s less of a story and more of an aid to help you start a conversation about the fears your child may be having about the move, then a nonfiction book such as Moving by Caitie McAneney might be what’s needed.

trio books 2This is just a drop in the bucket of books covering this topic (a catalog search on moving, household will give you many more options). We even have some books for the older kids such as Seven Dead Pirates by Linda Bailey for middle grade readers (if you think moving is hard, try moving into a house occupied by the ghosts of seven pirates). There’s also Tell Me Three Things by Julie Buxbaum for teens (about a teen grappling with grief, navigating a new school and step-family, and corresponding online with a mysterious new “friend”). Or maybe a graphic novel such as Lost in NYC: A Subway Adventure by Nadja Speigelman will provide some comfort.

Moving, at any age, can be a trying experience. A book might bring a sense of peace (or at least help alleviate some of the loneliness and anxiety) for a kid. Even adults need support and comfort during a move. That being said, if you get a chance, I hope you’ll swing by the East Columbia Branch and say hi to me sometime during the next three months.

Joanne Sobieck-Lingg is glad to blog about her many, disparate interests (though expert in none, except maybe parenthetical asides). In past lives, she was a writer, proofreader, editor, project manager, teacher, and even co-coordinator of a certain health blog. She has been happily ensconced among the fiction and teen books at the Central Branch of HCLS since 2003.

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mask-157574_640By the time you read this, I will be in Costa Rica on an exciting vacation with the hubby and our two cheeky monkeys…or possibly rocking back and forth while curled in a ball alternating between laughter and tears, having just traveled several hours on a plane with the aforementioned cheeky monkeys. This, of course, is an exaggeration (as you may have noticed, I am sometimes prone to exaggeration). The monkeys, though still only in elementary school, have become quite the seasoned travelers, having already traipsed all over the United States many times, and even to Ireland once. This, however, is their first trip where English is not the primary language, and I’d be a liar if I didn’t admit to being a bit nervous.

Though the hubby and I have been doing a lot to get our ducks in a row (everything from organizing travel documents, to making sure that there will be things our one very picky eater will eat, to arranging accommodations, to making sure we’ve purchased1 some reading material to distract the kids en route), we know and accept that, inevitably, something unplanned for will come up. Parenting is definitely not an exact science, and all the preparation in the world is still sometimes not enough.

This is RidiculousThat seems to be at the heart of a delightful little book I recently came across at HCLS: This Is Ridiculous This Is Amazing: Parenthood in 71 Lists by Jason Good. Full of lists with titles such as “How to Defend Yourself Against a Toddler Attack,” “What We’ve Googled,” “Signs That You’re a Bad Parent,” and, one of my personal favorites, “Reasons Your Toddler May be Freaking Out,” this book reminded me of some of the very frustrating and very funny early days of parenting. Even now that my kids are a bit older, there’s still plenty of humor, but the frustration factor has definitely gone down as we’ve learned to just roll with it.2

The book is mainly made up of these light-hearted lists, with the occasional mini-lesson, such as “The Arithmetic of Parenting”–apparently there are formulas for parenting that include variables such as “LI” (likelihood of injury) and CSC (current state of comfort), and “How to Threaten Your Child Effectively”–self explanatory. Remembering to laugh along the way is sometimes, I feel, the best way to get though the trickier times of family life.

Jason Good’s little book certainly brought plenty of smiles and a much-needed reminder that I’m not the only parent out there that thinks less than motherly thoughts on occasion. If you need such a reminder, a sanity check, or just a good laugh, you may also want to check out Someone Could Get Hurt: A Memoir of Twenty-First Century Parenting, Naptime Is the New Happy Hour: And Other Ways Toddlers Turn Your Life Upside Down, The Three-Martini Playdate: A Practical Guide to Happy Parenting, The Sweet Potato Queens’ Guide to Raising Children for Fun and Profit, and I Heart My Little A-Holes: A Bunch of Holy-Crap Moments No One Ever Told You about Parenting.

1 As a dedicated employee of HCLS and a member of a family that consumes books pretty rapidly, I am a firm believer in getting most of our reading materials from the library. However, I am not foolish enough to think that books will not get misplaced, damaged, or completely obliterated during world travel with children. We make the purchase to help mitigate another one of those unforeseen, unplanned for events that seems to come with parenthood.

2 Many of our friends with older kids have warned us that the frustration factor will come back into play in the teen years–let’s hope the humor also increases during these years.

Joanne Sobieck-Lingg is glad to blog about her many, disparate interests (though expert in none, except maybe parenthetical asides). In past lives, she was a writer, proofreader, editor, project manager, teacher, and even co-coordinator of a certain health blog. She has been happily ensconced among the fiction and teen books at the Central Branch of HCLS since 2003.

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breastfeeding tips

Dr. Natalia Colón Guzmán is an OB/GYN on staff at Howard County General Hospital. Also a mother of two, she shares her struggles with breastfeeding and the reasons she persisted until breastfeeding became a success. (Dr. Colón Guzmán with husband Eduardo Guzmán and daughters Susana and Ana Lucía.)

Breastfeeding may require some hard work, but it’s worth the effort says this OB/GYN and breastfeeding mom

In addition to being a mom of two, I am an obstetrician. So, I know how beneficial breastfeeding is to both mother and baby. When I had my firstborn, I was determined to breastfeed. Although it was more difficult than I expected, with assistance, I was able to be successful. If I can do it, anyone can.

Breastfeeding has long proven to be quite beneficial for both mother and infant. There is good evidence that it can influence many aspects of an infant’s life, including overall health, risk of infections, risk of obesity in the future and many others. Breast milk helps strengthen infants’ immune systems, which is why infants who are exclusively breastfed have fewer visits to doctors and hospitals for illnesses. Some studies even suggest that the longer a baby is breastfeed, the higher the child’s IQ could be later in life.

There are also many benefits to the mother, including helping to achieve a quicker recovery from delivery and reducing her levels of stress. It can enhance weight loss for many mothers and can be a method of birth control, although not quite perfect. Breastfeeding can reduce the risks of maternal ovarian and breast cancer and it is also good for the household economy as it is free (it is estimated it can save $1,000 in one year).

While it has many benefits, breastfeeding can, unfortunately, be challenging for many mothers. Sometimes the infant has issues, such as a tongue tie or congenital deformities, and sometimes the mother can have problems, such as flat nipples and low milk supply. Some women have to work very hard to achieve their breastfeeding goals.

When I had my first child, my milk came in a bit later than expected and the baby was not gaining as much weight as the pediatrician wanted. It was very hard work for me; I had to pump and supplement feedings with my own milk, but perseverance is one of my personality traits and I sought support and was able to pull through. Now I am breastfeeding my second child, and it is so natural to me that it feels as if I have been doing it my whole life.

In order to be successful at breastfeeding, I think it is important to take care of yourself. Eat well, stay hydrated by drinking lots of fluids/water, take your vitamins, and rest as much as you can. It is important to be persistent, even if the breastfeeding is not going as planned. In my practice, I find many women give up easily. I know how they feel…I almost gave up myself. But, a good lactation consultant, pediatrician and/or a lactation support group, will help women pull through and allow them many months of successful breastfeeding.

Howard County General Hospital hosts a Breastfeeding Support Group every Wednesday, 12:30-2:30 p.m. in our Wellness Center. No appointment is needed.

Natalia Colón Guzmán, M.D., FACOG, is an OB/GYN on staff at Howard County General Hospital. She and her husband, Eduardo Guzmán, are the proud parents of two little girls, Susana and Ana Lucía.

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pool safety tipsFor many, summer means pool time! Though splashing around with family and friends is a highlight of the summer, it is important to keep pool safety and caution in mind. With drownings and pool injuries a valid concern, make water safety your first priority.

Follow these simple guidelines to keep pool time safe and fun for everyone:

  1. Never allow children near or in the water unattended, even if lifeguards are present
  2. Make it a rule for your kids to never go in or near the water without an adult nearby
  3. Teach your child to swim or sign them up for swimming lessons
  4. Designate a water watcher. Choose a responsible person to keep an eye on the water every time children are in or near the water
  5. Make sure your child knows basic water safety skills
  6. Stay in arm’s reach of young children
  7. Have young children who are inexperienced in swimming wear a life jacket near the pool
  8. Learn CPR!
  9. Make your child wait at least 30 minutes after eating to swim
  10. Establish safe pool rules and enforce them such as: no running near the pool, always swim with a buddy and no diving
  11. Make sure children know that drains and suction fittings in the pool or hot tub are always off limits
  12. If you have a pool in your back yard, make sure there is proper fencing and/or barriers around it
  13. Always wear sunscreen with a minimum SPF of 30

By following these simple safety guidelines, you are sure to have a summer full of fun at the pool and create great memories!

 


Resources: Poolsafety.gov and the American Red Cross


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road trip snacks

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9 Healthy Snack Tips for Your Summer Road Trip

Summertime means road trip time! Here are some great ideas to fight off those snack attacks, and keep your energy up, too!  Plan your snack pack before you hit the highway to avoid unhealthy fast food stops and remember that a small insulated cooler is a must have.

  1. It’s A Wrap! Sandwiches can add protein and hearty grains to your diet. Keep wraps made with meat and cheese or hummus or veggies in a cooler.  Other options, like peanut butter and jelly on whole grain, can be kept at room temperature.
  2. Keeping It Cool: Yogurt. Whether it’s in a tube, made into a low-fat smoothie or mixed with fruit or granola, keep these road trip snacks in the cooler. It’s great snack for kids and adults.
  3. Hot On The Trail. Make trail mix at home that keeps well in a storage container with a lid.  Combine granola, raw nuts, seeds and dried fruits. Add a few dark chocolate chips for sweetness or wasabi peas for spice!
  4. Healthy Can Be Gouda, Too: low fat cheese, string cheese, single serve cottage cheese or cheese cubes. There are many low-fat cheeses, or soy or nut-based cheeses for those who are lactose intolerant. Prep cheese slices at home before and toss in the cooler. Pair with your favorite crackers you portion ahead of time, making it “snack-friendly” for the car.
  5. Dip It! Veggie Style. Fresh veggies can be sliced and stored in an insulated cooler. Road trip choices include cherry tomatoes, baby carrots, broccoli florets, cucumbers, celery and snap peas.  Add peanut butter or hummus as a dip to add good fats and protein, too.
  6. Energy Bars….Sweet! Replace those candy bars with an energy or granola bar. Protein and fiber, now that’s a healthier choice.
  7. Fruits, For Sure. Trip-friendly fruits that have been washed and sliced at home are a quick go-to from the cooler. Grapes and berries are finger-sized already. Others can be cubed and stored in containers, or eaten whole.
  8. Thirst Quenchers. Healthy beverages kept on ice are really nice on the road. Water, seltzer, 100 percent vegetable and fruit juices are the way to go.
  9. Go nuts! Craving crunchy? Pistachios, almonds, walnuts, whatever your favorite nut may be. Or go for sunflower or pumpkin seeds, air popped popcorn or rice cakes.
Karen Sterner is special events coordinator at Howard County General Hospital. She is an experienced traveler, having taken many road trips with her family.

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