Lone Star Peds

Please review items in the medicine cabinet for these recalled eye drops

CDER Alert Eye Drop Recall

Our office will be closed Saturday, October 28th, to celebrate the wedding of our Brittany!

Recall of candy toy:

Child's death leads to nationwide rolling candy recall An important recall warning for parents about candy that was sold in stores across the country and online.

Just a reminder to all of our patients:

Our office is open on Saturday mornings for acute sick visits.

Parents please check your child's bicycle if it is part of this recall.

https://faq.us.woombikes.com/article/337-stem-recall-notice

Important Voluntary Safety Recall Notice - woom bikes USA | FAQ woom ORIGINAL bikes sold from 2018-2021 woom bikes USA, in cooperation with the U.S. Consumer Product Safety Commission (CPSC) and Health Canada, is voluntarily

Another food recall due to Hepatitis A. Please note that children receive their Hepatitis A vaccines after the first birthday, (usually 15 or 18 month checkups) with second dose by age 2.

https://www.fda.gov/safety/recalls-market-withdrawals-safety-alerts/willamette-valley-fruit-co-recalls-great-value-sliced-strawberries-great-value-mixed-fruit-great

Willamette Valley Fruit Co. Recalls Great Value Sliced Strawberries, Great Value Mixed Fruit Great Value Antioxidant Blend, Rader Farms Organic Fresh Start Smoothie Blend, and Rader Farms Organic Berry Trio Because of Possible Health Risk Willamette Valley Fruit Co, Salem, OR is voluntarily recalling select packages of frozen fruit containing strawberries grown in Mexico due to the potential for Hepatitis A contamination.

Parents please see if have one of these products.

https://us.cnn.com/2023/06/06/business/boppy-infant-lounger-deaths/index.html

Newborn deaths prompt federal warning over recalled Boppy baby loungers | CNN Business The US Consumer Product Safety Commission on Tuesday urged parents and caregivers to stop using Boppy Newborn Loungers – a pillow for infants – after two more infants died after the agency issued a mass recall of the product in 2021.

We wanted to briefly share a few resources, in light of yesterday’s tragedy at the Allen Outlets. We hope that all of you and your loved ones are safe. Please contact us if we can be of assistance, for example, with recommendations for counselors.

1. Information from the American Academy of Pediatrics on how to talk to children about tragedies. School counseling departments are also a valuable resource.

https://www.healthychildren.org/English/family-life/Media/Pages/talking-to-children-about-tragedies-and-other-news-events.aspx?fbclid=IwAR2-m8d6VwwQGj3CKgJOOxq3EcB88fZ-aOCmXXm_m3TLgGqi_YaR0k2Io8o

2. “If you have been impacted by the traumatic events at the Allen Premium Outlets and need mental health assistance, LifePath Systems is offering free counseling to the Collin County community. Call 972-422-5939.”
-Crisis hotline (adults & children): 877-422-5939
- copied from www.LifePathSystems.org

How to Talk With Kids About Tragedies & Other Traumatic News Events ​VIDEO - The American Academy of Pediatrics (AAP) encourages parents, teachers, child care providers, and others who work closely with children to filter information about the crisis and present it in a way that their child can accommodate, adjust to, and cope with.

Our office will not have clinic tomorrow, April 8th.

We wish all of you a glorious weekend!!

New formula recall announced.

Perrigo Company plc is issuing a voluntary recall of certain lots of Gerber® Good Start® SootheProTM Powdered Infant Formula in the U.S., that were manufactured at the Company’s Gateway Eau Claire, Wisconsin manufacturing facility from January 02, 2023 to January 18, 2023. https://www.fda.gov/safety/recalls-market-withdrawals-safety-alerts/perrigo-announces-voluntary-recall-limited-quantity-gerberr-good-startr-sootheprotm-powdered-infant

This product is being recalled out of an abundance of caution due to the potential presence of Cronobacter sakazakii.

As a reminder, all refills will be completed within 7 days of date of request.

This includes medications for ADD/ADHD, anxiety/depression, and asthma medications.

We understand that there will be times when a refill request is urgent, but know that it will be completed within 7 days.

We will not have clinic tomorrow, Saturday, December 17th, due to numerous illnesses of our staff.

We apologize for this inconvenience.

We will resume our regular hours on Monday.

We apologize for the delays this morning due to the severe weather.

If you could not make your appointment today then please contact us and allows us to reschedule your child's appointment.

And thank you to our patients who were in the office due the severe storm and had to shelter in place.

Here is some basic information on RSV, including a short video showing signs of respiratory distress (needing immediate medical attention).
https://www.healthychildren.org/English/health-issues/conditions/chest-lungs/Pages/RSV-When-Its-More-Than-Just-a-Cold.aspx

This is a link to more scientific information about RSV, including information about contagiousness, hospitalization statistics, and possibility of vaccines for RSV. https://yourlocalepidemiologist.substack.com/p/rsv-is-back-faq

Flu has struck our community in a major way, and can typically be treated with at-home management. Dosing charts for Tylenol and ibuprofen can be found on product packaging, and also on www.healthychildren.org

Link to information about flu:
https://www.healthychildren.org/English/health-issues/conditions/flu/Pages/default.aspx?_gl=1*1eg9y7o*_ga*MTg4MzI2ODM0OS4xNjY4MDUwNzA2*_ga_FD9D3XZVQQ*MTY2ODEyNjk5MC4zLjAuMTY2ODEyNjk5MC4wLjAuMA..&_ga=2.259775884.70592559.1668050706-1883268349.1668050706

These are certainly not the only conditions that are keeping our kids sick these days. We are also seeing quite a bit of wheezing, croup, hand foot mouth, strep, a little COVID, and many upper respiratory infections (colds) that are testing negative on our in-office tests. Thank you for your patience during these busy times! We appreciate your kindness.

RSV: When It's More Than Just a Cold ​​Almost all children get RSV at least once before they are 2 years old. For most healthy children, RSV is like a cold. But, some children get very sick with RSV. With RSV season starting earlier than usual again this year, here's what parents need to know.​

Thank you for all of your support!!

We will not have clinic on Saturday, September 3.

We will be closed on Monday, September 5 for Labor Day.

For Triage calls, please call our main number (469) 591-1900 and pick the option for Triage.

Your health insurance offers Triage Nurse services as well. Please call their listed phone numbers if needed.

We would like to thank all of you who chose our office for this award.

We will keep working hard for your kiddos!!!

Thanks again!

LS Peds

Our office will be closed, Saturday, July 2nd and Monday, July 4th in honor of Independence Day.

Parents please be aware of this warning.

Fisher-Price rockers linked to at least 13 deaths No recall has been issued for the infant and toddler rockers, but parents are being advised not to leave their children to sleep in them.

Happy Mother's Day to all the moms in our lives!

As many have heard, we have had another significant event in our family.

Our oldest son, Ethan, was struck by a car a few days ago. The car had run a red light while he was crossing the street. The accident required that his hip and pelvis to be surgically repaired. And this happened the day before his birthday!!!

As a result of the long rehabilitation process, I will be working part-time for the remainder of month of May. I will be attending his PT sessions as well as attending to other needs at home.

I know that this may cause some adjustments to be made, but know that our office is very much able to provide fantastic pediatric care at any time!

~~Paul Reyes, MD

Thankful to all the nurses in our lives.

There has been some confusion regarding the diagnosis of a "lip tie".

Hopefully this article from WebMD will help.

===========================================

WHAT IS A LIP TIE?

Your lip is attached to your gums by tissue. Sometimes if this tissue is too short and tight, it results in a lip tie.

Lip Frenulum vs. Lip Tie
The piece of tissue inside your upper lip that attaches to your gums is called a maxillary labial frenulum, or lip frenulum. If that tissue is too short, it can limit movement in your lip. This is called a lip tie.

This piece of tissue is made of mucous membrane and connective tissue. You naturally have this tissue in your mouth to keep your lip stable as the face bones grow and change. It also helps keep your lip stable so you can suck.

This tissue is present in babies at birth and might be quite obvious. As your baby grows and teeth come in, the lip frenulum will change and move.

There are 4 general types of lip attachments.

-Mucosal. This type is when the tissue is attached where the tissue meets at the top of your gums. This is called the mucogingival junction.

-Gingival. This type of frenulum happens when the tissue is attached farther down into your gums.

-Papillary. A papillary lip frenulum is when the tissue is attached at the gums between your front teeth. This area is called interdental papilla.

-Papilla penetrating. In this type, the tissue is down between your teeth but crosses over the bone and extends back into your palate.

Understanding Lip Ties

Since these attachments change as your baby grows, diagnosing a lip tie is sometimes controversial. Your baby will have a lip frenulum, but it doesn’t mean it’s a lip tie.

A lip tie is usually only diagnosed in babies if the lip’s movement is restricted because the attachment is too short and tight.

This is usually only defined when your baby has trouble breastfeeding, but this is controversial. Releasing a tongue tie can improve your baby’s ability to breastfeed, but there isn’t clear evidence about lip ties. There have been a lot of lip tie revisions done, but a short lip frenulum that causes tightness is considered rare.

Some research says it has no effect. Other research shows it might cause problems with latch and seal during breastfeeding. This might lead to reflux.

A lip tie might affect your teeth and gums, but the research is conflicting here, too. Severe attachments are more likely to cause problems.

What Causes a Lip Tie?

Some lip attachment is normal. Yet some conditions might be more likely to have unusual lip attachments. These include:

-Infantile hypertrophic pyloric stenosis
-Holoprosencephaly
-Ellis-van Creveld syndrome
-Ehlers-Danlos syndrome
-Oro-facial-digital syndrome

These conditions are inherited diseases that cause problems with muscles, connective tissue, or bones.

There isn’t enough research to understand why lip ties happen without other health conditions.

Signs and Symptoms of a Lip Tie

You might suspect a lip tie in your baby. The most obvious sign is a tight lip attachment. Some other signs that your baby has a lip tie might include:

-Slow weight gain
-Reflux, caused by swallowing too much air
-Irritability
-Long feedings
-Clicking or smacking noises while feeding while having difficult with feeding
-Milk leaking from mouth while feeding‌

If you are breastfeeding a baby with a lip tie, you might have pain during or after feeding and swollen, painful breasts. This can happen because your baby might have a hard time getting the milk.

Signs of a lip tie in older kids and adults also include a tight or rigid attachment. Other signs can be:

-A space between your front teeth
-Loss of gum between your teeth
-Receding gums
-Trouble brushing your teeth
-Cavities
-Misaligned teeth

Diagnosing a Lip Tie

Your doctor will do a physical examination of your baby’s mouth to check for unusual lip attachments and specifically for lip movement. They might also watch you breastfeed to see your baby’s latch and how they suck.‌

For older children and adults, your dentist or orthodontist might diagnose it during a dental exam. This usually involves pulling on the attachment to see if the papilla, or the gum between the teeth, moves or turns white.

Lip Tie Revision

Some experts say that a lip tie revision can help babies feed better. This is true for a tongue tie, but it’s not clear for lip ties. Since attachments change as you grow, your doctor might want to leave the lip tie alone.

If the lip tie is severe and extends into your palate, your doctor might suggest surgery. This is called a frenectomy. This procedure involves a cut in the attachment. In some cases, it might include stitches into your palate. Your doctor might also use a laser.‌

Overall, experts have different opinions on lip ties. Surgery is usually only recommended if there are problems, so it’s best to talk to your doctor to see if it's a good fit for you.

Something to look forward to: a total eclipse blackout of DFW!!!

On April 8, 2024, a total solar eclipse will trace a narrow path of totality across 13 U.S. states.

The yellow lines outline the limits of the path of totality in each state. The green middle line represents the eclipse centerline, where totality lasts the longest in each state. The grey lines show the path of totality entering and exiting each state.

To experience the total phase of the eclipse in each state, you must be within the yellow lines. The closer you are to the green centerline, the longer totality will last.

Areas outside the path of totality will get a partial solar eclipse only.

"Doctor, I am worried about my child's weight"

This is a very common question for us especially during our well-visits.

Often times, there are no concerns as all of us can review multiple visits (data points) during the well-visits, and all of us can see the weight trend over a period of time.

Things to consider:

1) Nutrition-this is very important, especially during the early years. Ensuring a great nutrition from the time of birth through the toddler years will often show a great path of physical growth.

2) Genetics-this is often a clear predictor of your child's physique, including the weight. Not just the parents, but also extended blood relatives. So your child's physique may resemble one or both of the parents' physique, or the grandparents' physique, or the direct blood uncle/aunt's physique. Genetics is a funny thing b/c it can influence your child's physique from previous relative's genes.

3) Weight gain-good weight gain does affect the younger child's development especially in the first 4 years. Often, if we see an acute decrease in weight gain then we often see that the child's physical and social development may become delayed. Once the weight is corrected, the child's development returns.

So we hope that this helps alleviate concerns about our well-visits when questions arise regarding your child's weight. But you will always know that we will monitor it very closely especially if there are abrupt changes.

Encourage good diets, daily vitamins, family meals, and outside play/exercise.

Information from the FDA about the Similac recall. Please stop using products within the recalled lots.

FDA Warns Consumers Not to Use Certain Powdered Infant Formula Produced in Abbott Nutrition’s Facility in Sturgis, Michigan The FDA is investigating consumer complaints of Cronobacter sakazakii infections and one consumer complaint of infection of Salmonella Newport potentially linke

A great story for all to enjoy

https://www.cnn.com/2022/01/03/sport/tom-stoltman-strongest-man-autism-spt-intl/index.html

Tom Stoltman harnesses 'superpower' of autism to become the World's Strongest Man As Tom Stoltman crouched down to pick up the fifth and final Atlas Stone, a 210-kilogram (almost 463 pounds) spherical behemoth -- slightly heavier than an upright piano -- and lift it up to a platform at shoulder height, he knew it was the only thing standing between him and becoming the 'World's S...