Dr. Vivi, Newport Beach, CA Videos

#earthday2024 #askdrvivi #pediatrics #Sustainability - development that meets the needs of the present without compromising the ability of future generations to meet their own needs. What can we all do to limit negative impacts from your actions on communities, wildlife or natural resources? 1. Compost!! foods go in a compost bin for all Californians. It’s easy. 2. Recycle (we took sand toys home from our beach cleanup instead of throwing them away!) 3. Reduce what you buy 4. Reuse (bring cups in for coffee or fountain drinks and plastic containers for the salsa bar). 5. Teach your children to be kind to mother nature! At today’s beach cleanup, all of the children were fascinated as they were hunting down trash and filling the bags. A few people were grateful and others started to pick up as well. It was definitely a rewarding day and I’m sure it will make her children pause before they open another plastic bottle.

I had so many profound things to say about national women’s history month, but as a pediatrician I feel my biggest success is being a mom. After this Hoag celebration for women, I raced to to get my sleepy daughter from grandma, and then went straight home to put her in bed and count carbs for my sons lunch (he has Type 1 DM). So this is my shout out to moms everywhere. May this month be your month to be proud of all your accomplishments. More and more of my colleagues are at their breaking point and deciding that they’re going to put their family first. I support you and I think the community supports you too. Thank you to my patients who do all they can for their children and make my job easy! #nationalwomenshistorymonth #womeninmedicine #pediatrics #type1DM #forthechildren

How much should children, adolescents, and adults move per day? (Here are the CDC recommendations) 🏃3–5 years: these kids be physically active throughout the day. 🏃🏻‍♀️6–17 years: 60 minutes of aerobic and strengthening exercise per day. A 2012 study estimated that this is equivalent to 11,290–12,512 steps. Therefore, 12,000 steps may be a helpful goal for people in this age group. However, 1 hour of this activity would need to be of moderate-to-vigorous intensity. 🚶🏿Adults: 10,000 steps per day. For most people, this is the equivalent of about 8 kilometers, or 5 miles. Most people in the United States only take 3,000–4,000 steps per day , which equates to about 1.5–2 miles. 🧑🏻‍🦯Older adults: goals should be similar step count to younger adults. However, where this is not possible, a lower step count may still provide significant benefits. A large 2019 study in JAMA, involving older females, found that participants who walked 4,400 steps per day had a lower mortality rate after 4.3 years than those who only took 2,700 steps per day. In this study, the more steps people took, the lower the mortality rate. However, this trend leveled off at about 7,500 steps per day. This finding suggests that a goal of 7,000–8,000 steps may be sufficient for older adults to see significant benefits from walking. #askdrvivi #stepsperday #stayactive #moveyourbody #prevention #conciergepediatrics

Parainfluenza is the Virus of the month! Not only am I seeing plenty of runny noses from the common cold (rhinovirus), there is a new wave of raspy coughs (for children > 4 yo) or barky coughs (children <4). For these raspy dry coughs that tend to turn productive, my PCR respiratory panels are coming up positive for Parainfluenza. This family of viruses can lead to croup, colds, bronchitis, and even viral pneumonia. Most of my patients are also complaining of a headache at the onset or as the cough progresses. Does your child sound just like this video? He or she may just need rest, fluids, a humidifier, tylenol/motrin, decongestants, cough suppressants and expectorants. A safe decongestant is Zyrtec. For children older than 4 you can also give Dextromethorphan as a Cough suppressant, with Guaifenesin as an Expectorant (Mucinex cough is a trusted brand). Lolleez suckers help reset the J receptor that triggers an exacerbated cough. As always Zinc and Vitamin C can cut 2-3 days of recovery. You can talk to your pediatrician about needing steroids or a night time cough prescription. Always remember that after 4 days of fever you should seek medical evaluation in person!

My son is a great protector of his right to make decisions about his body; for 2-3 years I have failed to find a way to treat 2 stubborn warts on his hand. Until now. First, I made a competition between him and his after school teacher. Second, I found an attractive reward that would go to the winner. Third, I apply a lidocaine/prilocaine prescription one hour prior to make it painless. This comes from a doctor only. Some children can get very sick from it. Fourth and finally- I use “Compound W Freeze Off.” I apply every 3-7 days or whenever the skin is ready (not sensitive). We do the treatments while he watches TV and does not even wince. One is almost gone and the other is still hanging in there. After 2 years I expect it may be 2-4 months before it will be completely gone. This is quite typical. Note- for extremely calloused warts I recommend using a nail file on the dead skin after bath. This is to expose the core of the wart. Do NOT reuse the nail file anywhere else; it will spread the virus. For other patients who cannot tolerate the above- there is an option for oral cimetidine. This is a 3 month commitment. But if topical will work on your child, try that first. In the past Compound W applied at night burned. Using diaper cream around the healthy skin never worked either. Applications in the office were not effective or efficient with school and work life. Looking to learn more on plantar (foot) warts? Read On: What causes warts? People get warts through direct contact with HPV, of which there are many different types. The type that causes plantar warts likes to hang out in damp, warm environments - the kind that arouse your suspicion anyway, like public showers, swimming pools, locker rooms, your roommates shower mat, or communal shoes (if you're sharing shoes with people, you might want to inspect their feet first). If you walk barefoot through these areas, you could acquire plantar warts. Person-to-person contact can

Doc Talks Episode 21 with Allergist Dr. Gillian Bassirpour MD.
Learn more about pediatric allergies: -What are signs of food allergy in a newborn? -Are there ways to prevent childhood allergies? -Is allergic rhinitis worth treating in pediatric patients? -What are the basic principles of eczema care? This is a series of live talks with trusted local specialists. Get your questions answered in real time and hear preventative health tips straight from the Doctors. Watch live on Dr. Vivi’s page www.Facebook.com/AskDrVivi Or on Youtube https://www.youtube.com/@dr.viviavivaalyeshmerni5391/streams Past episodes are on Dr. Vivi’s Website https://askdrvivi.com/doc-talks or the Facebook Doc Talk page https://www.facebook.com/drtalks Learn More About Dr. Bassirpour at https://ryanraeskin.com/pediatric-allergy/

Dr. Vivi and Dr. Koury (Mind Health Institute, Newport Beach) discuss ADD and ADHD. Learn about: -Commonly missed signs and symptoms of ADD/ADHD -Treatment options for ADD/ADHD and taking breaks from medication -Consequences of untreated ADD/ADHD -Neuropsychological Testing and co-morbid conditions This is a series of live talks with trusted local specialists. Get your questions answered in real time and hear preventative health tips straight from the source. Watch live on Dr. Vivi’s page (and your questions are welcome!) Dr. Vivi Or on Youtube https://www.youtube.com/channel/UCpDG... (hit subscribe!) Past episodes are on Dr. Vivi’s Website https://askdrvivi.com/doc-talks or the Facebook Doc Talk page https://www.facebook.com/drtalks. Learn More about Matthew Koury M.D., M.P.H. at http://mhi-nb.com/matthew_koury.php

Happy Mother’s Day to all you Super Moms! Dishes and dirty walls are not coming with me for a much needed staycation, but the kids sure will! My daughter left me this are on the living room wall last night with a great note: “You always clean the scribbles I leave up on the wall. I seem to make a mess of things because I am so small. The years will pass so quickly. I’ll soon be grown like you, and my little drawings will surely fade from you. So here’s a special drawing, a memory that’s true. So you’ll recall the very day I made this just for you!” #askdrvivi #mothersday #enjoyeverymoment #sanitycheck #supermomsunite #doctormomlife

It’s National Water Safety Month
Ten tips for National Water Safety Month: As a trained lifeguard I have rescued a handful of children out of the water for near drowning and often not while on duty. I am sharing a video of my 2 year old son bouncing off a ledge in deep water during class. Like any 2 year old, he would not hold onto the wall. I sat adjacent to the class because I did not feel comfortable. I was yelling to my son to stop jumping by the time this video was taken and the teacher was headed back to him. One deep inhalation of water can do lung damage. In residency, it is not infrequent to lose at least one patient to drowning. Someone dies from drowning every 10 minutes. One out of every five drowning victims is a child, and, for every child who drowns, another five children get treated with injuries related to being submerged in water. Overall, drowning is the No. 2 leading cause of death for kids aged 5 to 14. Top 10 Water Safety Tips for Families 1. Never Swim Alone. Use a buddy system and swim when a lifeguard is present. 2. Supervise Children. Even strong swimmers need supervision; they're prone to trying dangerous tricks, flips and dives. Put your phone away and take turns watching the pool, so everyone gets an equal chance to relax. Make sure the supervisors are not drinking. 3. Don’t Play Breath-Holding Games. These games can cause drowning and has several other severe risks. Competing to see who can hold their breath underwater, and other similar games, can be dangerous and should not be part of any water-related activities. If a swimmer holds their breath too long or hyperventilates before going underwater — meaning they are breathing deeper or faster — they are at a higher risk of passing out underwater. 4. Always Wear a Life Vest; Inexperienced swimmers should always wear one and have a parent or trustworthy adult is within arm's length of the child using them. Also, remember a life jacket or other flotation device should never be an excuse to ig

Happy National Doctor’s Day and Women’s History Month! I will never forget when I was in the hospital delivering my second child; I was answering patient calls and finalizing the architectural plans for my new office. May we teach young women that they can create their destiny. Thank you Elizabeth Blackwell MD for standing up to the boys who told her she could not be a doctor. I made this video over a year ago and I am excited to share my little world in which I hope to help children in any way I can. “She had a gypsy soul and a warrior spirit. She made no apologies for her wild heart. She left normal and regular to explore the outskirts of magical and extraordinary. And she was glorious.” -Michelle Rose Gilman

Doc Talks Episode 19 with civil rights attorneys Amanda Selogie, Esq., and Vickie Brett, Esq.
Learn about: 1. The difference between an Individualized Education Plan and a 504 Plan 2. What you need to know regarding talking to your school district 3. Special scenarios in which a parent should consider legal counsel This is a series of live talks with trusted local specialists. Get your questions answered in real time and hear preventative health tips straight from Doctors. Watch live on Dr. Vivi’s page (and your questions are welcome!) www.Facebook.com/AskDrVivi Or on Youtube https://www.youtube.com/channel/UCpDGUblxfKZvs4gbEsaWEKQ (hit subscribe!) Past episodes are on Dr. Vivi’s Website https://askdrvivi.com/doc-talks or the Facebook Doc Talk page https://www.facebook.com/drtalks Learn More about Amanda Selogie, ESQ., and Vickie Brett, ESQ., at www.inclusiveeducationproject.org

2/22/22 Tip of the Day- numbers should be fun for your little one. Look for these Red Flags for Learning Disabilities. Early intervention is everything! Early warning signs: Preschool * Late talking, compared to other children * Pronunciation problems * Slow vocabulary growth, often unable to find the right word * Difficulty rhyming words * Trouble learning numbers, the alphabet, days of the week * Extremely restless and easily distracted * Trouble interacting with peers * Poor ability to follow directions or routines Early warning signs: Kindergarten through fourth grade * Slow to learn the connection between letters and sounds * Confuses basic words (run, eat, want) * Makes consistent reading and spelling errors including letter reversals (b/d), inversions (m/w), transpositions (felt/left), and substitutions (house/home) * Transposes number sequences and confuses arithmetic signs (+, -, x, /, 😊 * Slow recall of facts * Slow to learn new skills, relies heavily on memorization * Impulsiveness, lack of planning * Unstable pencil grip * Trouble learning about time * Poor coordination, unaware of physical surroundings, prone to accidents Common learning disabilities include: Dyslexia A language-based disability in which a person has trouble understanding words, sentences, or paragraphs Dyscalculia A mathematical disability in which a person has a very difficult time solving arithmetic problems and grasping math concepts Dysgraphia A writing disability in which a person finds it hard to form letters correctly or write within a defined space Auditory and Visual Processing Disabilities A sensory disability in which a person has difficulty understanding language despite normal hearing and vision

Happy Thanksgiving!! I couldn’t be more grateful to all of my wonderful patients who trust me with their family. I know how precious your children are and I will never take that for granted. May you all enjoy each milestone. These kids won’t stop growing and it’s gong way too fast! #gratitude #family #caliliving #lifeisgood #happythanksgivng #thankful #blessed #countyourblessings #ockids #docotormom #pediatrics #conciergeservices #conciergepediatrics #askdrvivi #calikids #pediatrics #gratefulfornature

Doc Talks Episode 18 with Dr. Golareh Fazilat MD, Pediatric Ophthalmologist.
Dr. Vivi and Dr. Fazilat will discuss common pediatric eye concerns: 1. Lazy eye (amblyopia) 2. Crossed Eye (strabismus) 3. Stye (acute vs chronic) 4. Blocked tear ducts (nasolacrimal duct obstruction) This is a series of live talks with trusted local specialists. Get your questions answered in real time and hear preventative health tips straight from the Doctors. Watch live on Dr. Vivi’s page www.Facebook.com/AskDrVivi Or on Youtube https://www.youtube.com/channel/UCpDGUblxfKZvs4gbEsaWEKQ (hit subscribe!) Past episodes are on Dr. Vivi’s Website https://askdrvivi.com/doc-talks or the Facebook Doc Talk page https://www.facebook.com/drtalks Learn More About Dr. Fazilat at https://childrenseyecenterorangecounty.com/our-team/golareh-fazilat-md/

COVID-⁠19 Vaccinations for Kids Ages 5-11 in California - Updated Information & Resources Dear members of American Academy of Pediatrics District IX California, It is an exciting time! We will soon likely have a vaccine against COVID-19 for those ages 5 to 11! Pediatricians and family physicians know that vaccinating against COVID-19 is essential to fight this pandemic. The Federal Food and Drug Administration’s (FDA’s) Advisory Committee is meeting today to review the Pfizer BioNTech COVID vaccine for 5 to 11-year-olds for possible Emergency Use Authorization (EUA). If authorized, the CDC Advisory Committee on Immunization Practice (ACIP) will meet on November 2 and 3 to further clarify recommendations on use of the vaccine. We anticipate the federal release of the vaccine the first week of November to follow. President Biden has indicated that the focus will be getting the vaccine to those in the community – the practitioners who care for children and in the schools and pharmacies. AAP California is coordinating efforts to prepare California pediatricians to help in this vaccination effort. LOGISTICS: Between November 1 and 8, orders for COVID-19 vaccine for 5 to 11-year-olds placed by providers during the pre-ordering period, will be shipped by the Federal system to local sites. Routine ordering for Pfizer’s BioNTech COVID vaccine for 5 to 11-year-olds post Emergency Use Authorization (EUA) is expected to be available to all enrolled providers starting the week of November 1, 2021 for Small Orders, and by the week of November 8 for all orders. To receive shipments, and/or administer COVID-19 vaccines, practices must be enrolled through myCAvax in the California COVID-19 Vaccination Program. The vaccine formulation is different from what has been used for adults and teens – please inform your patients to be patient, as the “new” vaccines need to be delivered. The pediatric formulation is supplied in 10 dose vials which can be stored fo