Cevey Pediatrics

𝗙𝗹𝘂 𝗠𝗶𝘀𝘁 (𝗳𝗹𝘂 𝘃𝗮𝗰𝗰𝗶𝗻𝗲 𝗻𝗮𝘀𝗮𝗹 𝘀𝗽𝗿𝗮𝘆) 𝗡𝗼𝘄 𝗔𝘃𝗮𝗶𝗹𝗮𝗯𝗹𝗲!

A few weeks past we posted that the flu vaccine shots had arrived, but we didn't yet have the nasal spray formulation. Those are now available, just in time for the flu vaccine season to get underway.

REMINDERS on deciding between shot vs mist:

-Flu Mist is not approved under age 2 years, but even those slightly older who might start crying once they hear they're getting a flu vaccine or those who can't sniff up the vaccine on command should get the shot. If the vaccine runs out of the nose because it's not sniffed up right after it's sprayed in, or if the child is crying so much they have a runny nose, the vaccine can "wash out" before it has a chance to take.
-You should not get a Flu Mist vaccine if you have a history of asthma attacks triggered by colds/upper respiratory infections.
-Flu Mist is reserved for our pediatric patients. If you are a parent whose insurance will allow you to get your flu vaccine from a pediatric office, we ask that you get the shot.
-Flu shots are for 6 months and older. As with last year, this year's flu shot is not egg culture-based and safe for those with egg allergies.

Keep in mind that if a child under 9 years old is getting a flu vaccine (either formulation) for the first time in their lives, they will need two doses (again the two doses could both be the shot, both be the nasal spray, or be one and then the other) separated by at least 4 weeks this season to be fully protected.

Call the office to start scheduling your flu vaccines. If a parent would like to get the flu vaccine with their child(ren) please specify that at the time of scheduling so that we can make sure your insurance will allow it and also that we can make sure supplies don't run out.

Note: we do our inventory check on Tuesday afternoons, so flu vaccine appointments are not available on Tuesday afternoons after 3 pm.

Happy Labor Day!

In observance of Labor Day, Cevey Pediatrics will be closed today (Monday, September 2nd). We will resume normal office hours on Tuesday, September 3rd.

Labor Day is a time to honor the hard work and dedication of all workers. We hope you enjoy this well-deserved break with your loved ones!

Have a safe and happy Labor Day!

Wondering if your child is ready to stay home alone? According to the American Academy of Pediatrics (AAP), it's crucial to ensure they are prepared both mentally and physically. Here are some essential tips:

1️⃣ Age and Maturity Matter: The AAP suggests considering your child's age, maturity, and comfort level before leaving them alone. No specific age fits all—assess their readiness individually.

2️⃣ Emergency Preparedness: Make sure your child knows how to dial 911, and has a list of trusted contacts. The AAP emphasizes the importance of clear communication in emergencies.

3️⃣ Set Clear Boundaries: Establish rules about cooking, answering the door, and screen time. Consistency is key to following safety protocols.

4️⃣ Practice Makes Perfect: The AAP recommends practicing different scenarios with your child, such as what to do if a stranger knocks or if there's a fire. Rehearsing these situations can build their confidence and readiness.

5️⃣ Start with Short Stays: Gradually increase the time your child spends alone. The AAP advises starting with short intervals to help them get used to the responsibility.

Empower your child with the knowledge and skills they need to stay safe while home alone. Every step counts in building their confidence and independence!

If you have any questions or concerns about home-alone safety, don’t hesitate to reach out and book an appointment today at (210) 826-0311.

𝗙𝗹𝘂 𝗦𝗵𝗼𝘁 𝗦𝗲𝗮𝘀𝗼𝗻 𝗶𝘀 𝗛𝗲𝗿𝗲! 𝗣𝗿𝗼𝘁𝗲𝗰𝘁 𝘆𝗼𝘂𝗿 𝗰𝗵𝗶𝗹𝗱 𝗮𝗴𝗮𝗶𝗻𝘀𝘁 𝘁𝗵𝗲 𝗳𝗹𝘂 𝘄𝗶𝘁𝗵 𝘁𝗵𝗲 𝗳𝗹𝘂 𝘃𝗮𝗰𝗰𝗶𝗻𝗲.

Our patients have 2 options to consider: nasal spray (unfortunately not available for children under 2 years old) & a shot-administered vaccine.

Shots this season are not egg-culture-based, so those with egg allergies need not worry!

𝗙𝗔𝗖𝗧𝗦:
-Flu shot is for anyone age 6 months and older.
-Flu shot is a dead virus, so you cannot get a case of flu from the flu shot. Flu Mist is a weakened form of the virus, so you can get a slight cold, but the virus has been genetically modified to not be able to live at body temperature.
-Those with a history of asthma attacks triggered by a cold should not get the Flu Mist, but should stick with the flu shot instead.
-Though the Flu Mist is approved for 2 year olds and above, if your child is going to freak out at the idea of a flu vaccine because it's a vaccine, he or she may not be a good candidate for the Mist because crying can wash out the vaccine before it has a chance to "take.".
-Ideally, you want to receive this vaccine before the end of October

Our flu shots have arrived, but we have not gotten the flu vaccine nasal sprays yet. Stay tuned for social media/newsletter announcements about when that happens. You can go ahead and call the office to schedule flu shot appointments for September and October. If parents want to also get the flu shot, please mention that at the time of scheduling your child's appointment so we can confirm your insurance and put you onto the schedule also. Please keep in mind, no flu shot appointments on Tuesdays after 3 pm.

𝗗𝗲𝘃𝗲𝗹𝗼𝗽𝗺𝗲𝗻𝘁𝗮𝗹 𝗠𝗶𝗹𝗲𝘀𝘁𝗼𝗻𝗲𝘀: 𝗚𝗿𝗼𝘀𝘀 𝗠𝗼𝘁𝗼𝗿 𝗦𝗸𝗶𝗹𝗹𝘀
𝘼𝙣 𝙊𝙫𝙚𝙧𝙫𝙞𝙚𝙬 𝙬𝙞𝙩𝙝 𝘾𝙚𝙫𝙚𝙮 𝙋𝙚𝙙𝙞𝙖𝙩𝙧𝙞𝙘𝙨

Watching your little one grow and achieve new milestones is one of the most exciting parts of parenting! Here’s a guide to gross motor skills your child will typically develop from 6 months to 5 years old.

𝟲-𝟴 𝗠𝗼𝗻𝘁𝗵𝘀:
- Sits alone
- Reaches for toys while sitting
- Catches self when losing balance in sitting
- Crawls on belly

𝟵-𝟭𝟭 𝗠𝗼𝗻𝘁𝗵𝘀:
- Moves between laying down and sitting upright without help
- Crawls on hands and knees
- Pulls to a standing position with one foot leading
- Cruises around furniture
- Walks with two hands held

𝟭𝟭-𝟭𝟮 𝗠𝗼𝗻𝘁𝗵𝘀:
- Walks with one hand held
- Stands alone for a few seconds

𝟭𝟯-𝟭𝟰 𝗠𝗼𝗻𝘁𝗵𝘀:
- Crawls up stairs
- Stands up from the floor without support
- Walks alone well
- Squats and stands back up without holding onto support

𝟭𝟱-𝟭𝟴 𝗠𝗼𝗻𝘁𝗵𝘀:
- Walks up stairs with hands or rails to help
- Crawls down the stairs (on belly, feet first)
- Can run, though falls easily
- Kicks a ball forward

𝟮 𝗬𝗲𝗮𝗿𝘀:
- Walks and runs fairly well
- Jumps in place with both feet off the ground
- Walks up and down stairs alone
- Kicks a ball with either foot

𝟯 𝗬𝗲𝗮𝗿𝘀:
- Balances on one foot for a few seconds
- Jumps forward 10-24 inches
- Catches a large ball
- Rides a tricycle

𝗜𝗺𝗽𝗲𝘁𝗶𝗴𝗼
𝘈𝘯 𝘖𝘷𝘦𝘳𝘷𝘪𝘦𝘸 𝘸𝘪𝘵𝘩 𝘊𝘦𝘷𝘦𝘺 𝘗𝘦𝘥𝘪𝘢𝘵𝘳𝘪𝘤𝘴

Impetigo is a common, itchy, and sometimes painful skin infection caused by bacteria, usually Staphylococcus aureus or Group A Streptococcus (Staph and Strep). It often occurs when the skin is broken, but it can also infect intact skin, especially in warmer months when children are outside.

𝗦𝗶𝗴𝗻𝘀 𝗮𝗻𝗱 𝗦𝘆𝗺𝗽𝘁𝗼𝗺𝘀:
- Sores and blisters around the nose, mouth, scalp, hairline, arms, and legs
- Different types include:
- - Non-bullous Impetigo: Most common; itchy sores burst quickly, forming honey-colored crusts that heal without scarring.
- - Bullous Impetigo: Rare; affects mainly children under 2 years; large fluid-filled blisters that heal without scarring.
- - Ecthyma: Untreated impetigo can develop into this deeper skin infection, leading to thick crusts and potential scarring.

𝗧𝗿𝗲𝗮𝘁𝗺𝗲𝗻𝘁 𝗣𝗹𝗮𝗻:
1. Keep the area clean.
2. Apply antibiotic ointment (Mupirocin) with a Q-tip.
3. Monitor for signs of spreading or worsening infection such as:
- Increased redness
- Purulent discharge
- Warmth
- Red streaking
If multiple areas are involved or the infection is spreading rapidly, oral antibiotics may be necessary.

If you suspect your child has Impetigo, please call the office to set up an appointment at (210) 826-0311.

𝗙𝗶𝗳𝘁𝗵 𝗗𝗶𝘀𝗲𝗮𝘀𝗲
𝘈𝘯 𝘖𝘷𝘦𝘳𝘷𝘪𝘦𝘸 𝘸𝘪𝘵𝘩 𝘊𝘦𝘷𝘦𝘺 𝘗𝘦𝘥𝘪𝘢𝘵𝘳𝘪𝘤𝘴

Have you ever heard of Fifth Disease? Its name might sound made-up, and when you learn it's caused by a parvovirus, it seems even stranger—especially for dog owners who know "Parvo" as a serious pet illness. But for humans, Fifth Disease is typically mild and underwhelming.

𝗗𝗶𝘀𝘁𝗶𝗻𝗰𝘁𝗶𝘃𝗲 𝗥𝗮𝘀𝗵
- Starts with extremely red cheeks, often mistaken for sunburn or wind-chapped skin.
- Spreads to the upper arms and legs in a lacy, red pattern.
- Eventually covers the torso and fades away in 1-2 weeks.
- Rash isn’t usually itchy or bothersome.

𝗖𝗼𝗻𝘁𝗮𝗴𝗶𝗼𝗻
- Child is no longer contagious by the time the rash appears.
- Contagious in the days before the rash, with possible mild cold-like symptoms or none at all.
- At-risk groups for complications: individuals with bone marrow diseases or unborn babies.
- Notify at-risk contacts to seek medical advice.

𝗥𝗮𝘀𝗵 𝗖𝗵𝗮𝗿𝗮𝗰𝘁𝗲𝗿𝗶𝘀𝘁𝗶𝗰𝘀
- Rash can become more pronounced with increased body temperature from activities like playing, bathing, or sleeping.
- This doesn’t indicate worsening.
- Rash won't respond to Benadryl or hydrocortisone; it’s just the body’s reaction to the virus.
- If slightly itchy, regular lotion or cool compresses can help.

Visit our FAQ page to learn more at ceveypediatrics.com/faqs

If you suspect your child has Fifth Disease, please call the office to set up an appointment at (210) 826-0311

🍦 Happy National Ice Cream Month! 🍦

Did you know that July is National Ice Cream Month?

Whether you prefer classic vanilla, chocolate, or something more adventurous, we hope you enjoy some delicious ice cream with your family and friends this month.

Wishing everyone a happy, healthy, and sweet July!

Stay cool,
Dr, Cevey, Dr. Day, and the rest of the Cevey Pediatrics Team

Neonatal Nasolacrimal Duct Stenosis AKA "Newborn Blocked Tear Duct":
𝗔𝗻 𝗢𝘃𝗲𝗿𝘃𝗶𝗲𝘄 𝘄𝗶𝘁𝗵 𝗖𝗲𝘃𝗲𝘆 𝗣𝗲𝗱𝗶𝗮𝘁𝗿𝗶𝗰𝘀

Parents, have you noticed yellow/green goo in your newborn's eye(s)? While it’s natural to worry about an eye infection, there's a common and usually harmless cause –blocked tear ducts.

Tears, made by the lacrimal glands, keep the eyes healthy and lubricated with a special combination of water and proteins. They flow across the eye and drain into tiny tear ducts, which sometimes get blocked in newborns. This leads to tears collecting in the eye and leaving behind a yellow-green mucousy drainage.

Here’s how to tell if it’s a blocked tear duct:
-Whites of the eyes remain clear (not red)
-No redness or swelling between the eye and the nose

Most babies outgrow this by 7-9 months as their tear ducts widen. Meanwhile, gentle cleaning with warm, wet cotton balls can help keep the eyes clear without causing irritation. Some experts suggest gentle massage near the nose might help open the blockage, and it’s worth a try!

Rest assured, this condition is common, affecting up to 75% of babies. If you have any concerns, our team at Cevey Pediatrics is here to help. Your little one is in good hands!

For more tips and support, visit our FAQ page at ceveypediatrics.com/faqs

If you suspect your child has Neonatal Nasolacrimal Duct Stenosis, please call the office to set up an appointment at (210) 826-0311

Poison Ivy, Poison Oak, and Poison Sumac
𝗔𝗻 𝗢𝘃𝗲𝗿𝘃𝗶𝗲𝘄 𝘄𝗶𝘁𝗵 𝗖𝗲𝘃𝗲𝘆 𝗣𝗲𝗱𝗶𝗮𝘁𝗿𝗶𝗰𝘀

These three plants make an irritating oil called urushiol that can cause a very itchy allergic skin rash as a result of contact with even just a tiny amount. Here’s what you need to know to keep your little ones safe.:

Poison Ivy: "Leaves of three, let them be." These leaves can change colors with the seasons and might have white waxy berries. It grows as a shrub or vine.
Poison Oak: Similar to poison ivy but with rounded tips and fuzzy undersides. Also grows as shrubs or vines.
Poison Sumac: Found in wet, wooded areas with 7-13 leaflets per leaf. It can grow up to 20 feet tall with drooping yellow, green, or cream-colored berries.

Symptoms: Itchy, red, swollen rash with blisters, developing within hours to a few days after contact. You may react to future exposures to these plants even if you didn’t react in the past.

Treatment:
Rinse your skin and wash your clothes immediately
Use anti-itch creams like calamine lotion and steroid creams
For weeping blisters, try topical astringents (Burows, Domeboro)
Oral antihistamines
Cold compresses
Duration: Symptoms usually last 1-2 weeks.

Stay safe and remember to check your surroundings! If you suspect your child has come into contact with any of these plants, please call the office to set up an appointment at (210) 826-0311!

Happy Fourth of July!
Our practice will be closed on Thursday (7/4/2024) and Friday (7/5/2024).

Dr. Cevey, Dr. Day, and the rest of our team at Cevey Pediatrics wish you all a happy and safe holiday this Independence Day!

Swipe → to review 4th of July safety with Cevey Pediatrics!

→View fireworks from a safe distance
Professional fireworks shows are going to be more spectacular, and safer, than backyard fireworks. Enjoy them at a safe distance, at least 500 feet away from the fireworks launch site.

→Wave a flag (or glow stick) instead of a sparkler
Sparklers may seem relatively harmless, as fireworks go.

→Protect your child’s hearing
Fireworks and firecrackers can be as loud as 150 decibels—a lot louder than what’s considered a safe listening level (75–80 decibels). At close distance, even one loud burst is enough to cause some permanent hearing loss, according to the American Speech-Language-Hearing Association.

→Never allow young children to play with or ignite fireworks
Sparklers burn at an extremely high heat: 2,000 degrees Fahrenheit—hot enough to melt some metals. Sparks can ignite clothing on fire and cause eye injuries. Touching a lit sparkler to skin can result in third degree burns.

Understanding Food Reactions: Hypersensitivity (Post 3 of 3)
𝗔𝗻 𝗢𝘃𝗲𝗿𝘃𝗶𝗲𝘄 𝘄𝗶𝘁𝗵 𝗖𝗲𝘃𝗲𝘆 𝗣𝗲𝗱𝗶𝗮𝘁𝗿𝗶𝗰𝘀

The previous two types of food allergies discussed are relatively immediate in regards to onset of symptoms after exposure to the triggering food. However, food allergies can also present with symptoms that gradually develop with chronic exposure.

Delayed-type food hypersensitivity causes symptoms more consistent with chronic inflammation - chronic abdominal pain, chronic diarrhea, poor growth, bloody stools, chronic skin rashes.
-Onset is from hours to days to weeks to months after exposure due to the different type of antibodies that are triggered in these allergic reactions
-Cow's milk protein allergy seen in infants, and celiac disease are examples
-Only treatment is avoidance of the specific food triggers, no desensitization therapy is available
-Regular allergy testing does NOT check for these antibodies, blood testing for the specific type of antibody to the suspected food trigger is necessary

If you suspect some kind of allergic reaction in your child, please call the office to set up an appointment!
(210) 826-0311

Understanding Food Reactions: Oral Allergy Syndrome (Post 2 of 3)
𝗔𝗻 𝗢𝘃𝗲𝗿𝘃𝗶𝗲𝘄 𝘄𝗶𝘁𝗵 𝗖𝗲𝘃𝗲𝘆 𝗣𝗲𝗱𝗶𝗮𝘁𝗿𝗶𝗰𝘀

Another set of symptoms frequently concerning to parents for possible allergies is a syndrome called Oral Allergy Syndrome.

Oral allergy syndrome (OAS) symptoms are limited to rash or irritation around mouth in response to eating specific raw fruits/veggies that are similar chemically to pollens that the patient may be sensitive to.
-Onset within minutes
-Benadryl also helps treat symptoms of OAS, but symptoms also typically self resolve even without therapy within an hour; OAS symptoms can actually be avoided by cooking or at least significantly heating up the fruit/vegetable so for example raw apples might cause rash/mouth itching but applesauce or apple pie are tolerated without problems
-Even though symptoms are localized to around the mouth, they are unlikely to cause actual breathing difficulty or be life threatening
-Testing would have to be for the pollen that the individual is allergic to, and so would be less reliable before age 3-4 years old
-Typically becomes milder with time

If you suspect some kind of allergic reaction in your child, please call the office to set up an appointment!
(210) 826-0311

Today we celebrate all the incredible fathers who fill our lives with joy!

Happy Father's Day!

From Dr. Cevey, Dr. Day, and the rest of the team at Cevey Pediatrics!

Understanding Food Reactions: Allergy vs. Intolerance (Post 1 of 3)
𝗔𝗻 𝗢𝘃𝗲𝗿𝘃𝗶𝗲𝘄 𝘄𝗶𝘁𝗵 𝗖𝗲𝘃𝗲𝘆 𝗣𝗲𝗱𝗶𝗮𝘁𝗿𝗶𝗰𝘀

There are many misconceptions surrounding food allergies.

Many symptoms thought to be an "allergy" are actually intolerance (eg. lactose intolerance, diaper rash after tomato products, diarrhea with too much fruit) resulting from a chemical reaction of substances in the food to the part of the body having the reaction.

Classic food allergies (e.g. nuts, eggs) result in hives or symptoms of anaphylaxis to various degrees:
-Usually within minutes of eating the food trigger
-If just hives diphenhydramine (Benadryl) can help symptoms, and no ER visit is necessary, but if any symptoms of anaphylaxis, epinephrine autoinjector is also needed and an immediate trip to the ER is the best course of action
-Can escalate with subsequent exposures (just hives the first time, hives and vomiting the next time, hives, vomiting, and difficulty breathing the next time)
-Can do allergy testing in infants if suspicious symptoms; note: testing won't come up positive if haven't ever been exposed to the trigger being tested for
-Some allergies have densitization therapy available

If you suspect some kind of allergic reaction in your child, please call the office to set up an appointment!
(210) 826-0311

Why Reduce Triglycerides? An Overview with Cevey Pediatrics

Here are some effective ways to lower your triglycerides:
1. Aim for a healthy weight – excess calories are stored as fat.
2. Reduce added sugars – found in sweets and soft drinks, they convert to triglycerides.
3. Opt for a lower carbohydrate diet.
4. Eat a high fiber diet – includes fruits, veggies, whole grains, nuts, seeds, and legumes.
5. Exercise regularly.
6. Cut down on trans fats – avoid fried and baked goods.
7. Increase Omega-3 fatty acids – found in fatty fish.
8. Choose unsaturated fats – nuts, seeds, and avocados.
9. Add soy protein – tofu, edamame, tempeh, soy milk.
10. Enjoy tree nuts in moderation.
11. Consider natural supplements like fish oil, vitamin D, fenugreek, and curcumin.

If you have questions or concerns about reducing Triglycerides, schedule your appointment with us at Cevey Pediatrics today! (210) 826-0311

Dr. Cevey, Dr. Day, and our staff at Cevey Pediatrics remembers and honors our fallen military and those who made the ultimate sacrifice for our country.

In our observance, the practice will remain closed today and will reopen on Tuesday, May 28, 2024.

Neonatal Jaundice is a common condition characterized by yellow discoloration of a newborn infant’s skin and the white part of their eyes. This occurs due to an excess of bilirubin, a yellow pigment of red blood cells, in the baby’s blood.

Physiological Jaundice: Newborns produce more bilirubin than adults because of increased production and faster breakdown of red blood cells in the first few days of life. The liver filters bilirubin from the blood into the intestinal tract. However, the immature livers of newborns often cannot remove bilirubin quickly enough, resulting in jaundice. This type of jaundice typically appears on the second or third day of life and is harmless.

Pathological Jaundice: This type appears within the first 24 hours of life and can be caused by factors such as internal bleeding, infections, malformations in the bile ducts, or incompatibility of the mother’s and baby’s blood. Sometimes physiologic jaundice can become pathologic if levels go up too high or too fast.

Treatments for Newborn Jaundice:
Sunlight: Sunlight emits a blue-green light that converts bilirubin into water-soluble isomers that can be excreted. The more body surface area that gets exposed to sunlight the better.
Increased Feedings: More frequent feedings can help by increasing stools, which helps to eliminate bilirubin from the intestines more efficiently.
Phototherapy: Light therapy from a concentrated light source of the perfect wavelength that is prescribed if physiologic jaundice has become pathologic and you are not getting enough improvement from sunlight exposure and increased feedings.

If you have questions or concerns about jaundice, schedule your appointment with us at Cevey Pediatrics today! (210) 826-0311

On behalf of our team at Cevey Pediatrics, we'd like to wish our moms a very special Happy Mother's Day!

Stinging Caterpillars: An Overview with Cevey Pediatrics

As the weather warms up, so do encounters with stinging caterpillars! It's essential to be aware of these fuzzy but potentially harmful critters, especially if you have curious kids around. Here's what you need to know:

Stinging caterpillars are most active from March through December, so stay vigilant during these months. These stinging caterpillars, when touched, can cause painful rashes on contact!

Typically, stinging caterpillars look fuzzy, which in a child’s eyes is interpreted as looking soft and fun to pet. With their bright patterns and fun-looking wave-like motion when crawling along the ground, they are extremely attractive to kids to try to pick up.

Examples include:
Puss moth caterpillars, buck moth caterpillars, spiny oak slug caterpillars, hickory tussock moth caterpillars, saddleback caterpillars, and Io moth caterpillars.

Symptoms:
May include immediate pain or pain that starts several minutes after being stung, along with a line or multiple lines of reddish-colored spots where spines enter the skin.

Treatment:
Washing the involved skin immediately with soap and water, and drying without contacting the skin (e.g., using a hairdryer). Cool compresses can reduce pain, and applying rubbing alcohol or ammonia topically can enhance the cooling sensation. If eyes are affected, irrigate immediately with lots of water.

(continued in the comments)

Dr. Cevey is excited to announce that her son, Joshua, has decided to attend Westlake University this fall.

Joshua will be in a select group of international students who have been awarded a full ride scholarship to attend this premier STEM university located in Hangzhou, China. He will be a biological sciences major there.

We are so proud of you, Josh!

𝗘𝗖𝗭𝗘𝗠𝗔: 𝗔𝗻 𝗢𝘃𝗲𝗿𝘃𝗶𝗲𝘄 𝘄𝗶𝘁𝗵 𝗖𝗲𝘃𝗲𝘆 𝗣𝗲𝗱𝗶𝗮𝘁𝗿𝗶𝗰𝘀

At Cevey Pediatrics, we understand the struggles that come with managing eczema. That's why we're here to share some essential tips to keep your little one's skin happy and healthy:

• Opt for hypoallergenic, fragrance-free soaps, moisturizers, and detergents so as to not further irritate sensitive skin.
• Keep eczema at bay by moisturizing several times a day with gentle options like petroleum jelly, Happy Cappy, Aveeno Baby Eczema Relief, Cerave.
• Eczema flare-ups classically have been treated with topical steroids (of which there are over-the-counter or prescription options) but excessive use of topical steroids can cause side effects as well as lead to dependence and withdrawal.
• Nonsteroidal Eucrisa is a prescription nonsteroid cream that can treat mild to moderate flareups and be used as maintenance to prevent flareups. (see first comment for further information on Rx Eucrisa)

𝗢𝗽𝘁𝗶𝗺𝗮𝗹 𝗯𝗮𝘁𝗵𝗶𝗻𝗴 𝗽𝗿𝗮𝗰𝘁𝗶𝗰𝗲𝘀:
Stick to lukewarm baths no longer than 10 minutes, pat skin dry gently, and apply moisturizer immediately afterwards to lock in hydration. If your child associates bathtime with his/her bedtime routine, consider only using cleanser every few days in the bath.

(Continued in the comments)

𝗖𝗿𝗼𝘂𝗽: 𝗔𝗻 𝗢𝘃𝗲𝗿𝘃𝗶𝗲𝘄 𝘄𝗶𝘁𝗵 𝗖𝗲𝘃𝗲𝘆 𝗣𝗲𝗱𝗶𝗮𝘁𝗿𝗶𝗰𝘀

That distinctive seal-bark cough of croup? Once you've heard it, you'll spot it from two aisles away! It often strikes at night, but check out this YouTube video for a good representation: https://youtu.be/UDG6z5AiU-A

Remember, in real life, the bark may sound deeper.

𝗪𝗵𝗮𝘁 𝗶𝘀 𝗖𝗿𝗼𝘂𝗽?
Croup is a common respiratory condition in young children, usually caused by a virus. It leads to swelling and narrowing of the upper airway, resulting in a barking cough and difficulty breathing.

𝗨𝗻𝗱𝗲𝗿𝘀𝘁𝗮𝗻𝗱𝗶𝗻𝗴 𝗖𝗿𝗼𝘂𝗽:
Croup is a viral illness, often caused by the same viruses behind a regular cold.
-It not only inflames nasal passages but also vocal cords, potentially leading to airway blockage in young children.
-Peak swelling typically occurs on days 3-5, after which the cough transitions into a regular mucousy one.

𝗧𝗿𝗲𝗮𝘁𝗺𝗲𝗻𝘁 𝗢𝗽𝘁𝗶𝗼𝗻𝘀:
Oral Steroids: Prescribed for 2-4 days, these can reduce swelling and ease the transition to a regular cough.
Cool Mist: Sit your child near a cool mist humidifier, in a steamy bathroom, or outdoors on a cool, damp night to alleviate symptoms.
Emergency Care: If cool mist doesn't help within 10-20 minutes, a breathing treatment at the ER may be necessary.

𝗪𝗵𝗲𝗻 𝘁𝗼 𝗦𝗲𝗲𝗸 𝗛𝗲𝗹𝗽: (𝗰𝗼𝗻𝘁𝗶𝗻𝘂𝗲𝗱 𝗶𝗻 𝘁𝗵𝗲 𝗰𝗼𝗺𝗺𝗲𝗻𝘁𝘀)

Happy Birthday, Dr. Day!

𝗪𝗵𝗮𝘁 𝗶𝘀 𝗮 𝗙𝗲𝗯𝗿𝗶𝗹𝗲 𝗦𝗲𝗶𝘇𝘂𝗿𝗲?
𝘼𝙣 𝙊𝙫𝙚𝙧𝙫𝙞𝙚𝙬 𝙬𝙞𝙩𝙝 𝘾𝙚𝙫𝙚𝙮 𝙋𝙚𝙙𝙞𝙖𝙩𝙧𝙞𝙘𝙨

Important Facts:
·Simple febrile seizures last less than 15 minutes, do not re-occur within a 24 hour period, and are not specific to one part of the body.

·Febrile seizures
- typically occur between the ages of 6 months and 5 years
- typically happen within 24 hrs of an illness
- are frightening to watch, but do not cause brain damage or affect intelligence

·Risk factors for recurrence of febrile seizures include:
- younger age at first seizure
- short duration of fever before the onset of the first febrile seizure
- lower temperature at onset
- and family history of febrile seizures.

·Approximately 1/3 of patients will have a recurrence of a febrile seizure.

REMEMBER: Reduce future fevers as soon as possible with ibuprofen/ Tylenol.

𝗛𝗼𝘄 𝘁𝗼 𝗦𝗮𝗳𝗲𝗹𝘆 𝗩𝗶𝗲𝘄 𝘁𝗵𝗲 𝗔𝗽𝗿𝗶𝗹 𝟴, 𝟮𝟬𝟮𝟰 𝗦𝗼𝗹𝗮𝗿 𝗘𝗰𝗹𝗶𝗽𝘀𝗲

𝗣𝗿𝗼𝘁𝗲𝗰𝘁 𝗬𝗼𝘂𝗿 𝗘𝘆𝗲𝘀
-Looking directly at the Sun without proper eye protection is unsafe EXCEPT during the brief total eclipse phase (“totality”)
-If you are inside the path of totality on April 8, 2024, remove your solar filter ONLY when the Moon completely covers the Sun’s bright face. As soon as the Sun begins to reappear, replace your solar filter to look at the remaining partial phases.
-Outside the path of totality, there is NO TIME when it is safe to look directly at the Sun without using a solar filter that complies with the transmittance requirements of the ISO 12312-2 international standard.

𝗪𝗵𝗮𝘁 𝗜𝗳 𝗬𝗼𝘂 𝗗𝗼𝗻’𝘁 𝗛𝗮𝘃𝗲 𝗮 𝗦𝗮𝗳𝗲 𝗦𝗼𝗹𝗮𝗿 𝗙𝗶𝗹𝘁𝗲𝗿 𝗼𝗿 𝗩𝗶𝗲𝘄𝗲𝗿?
Another method for safe viewing of the partially eclipsed Sun is indirectly via pinhole projection. For example, with your back to the Sun, cross the outstretched, slightly open fingers of one hand over the outstretched, slightly open fingers of the other, creating a waffle pattern. In your hands’ shadow on the ground, the spaces between your fingers will show the Sun as crescents.

For more information, visit: eclipse.aas.org/eye-safety

From Dr. Cevey, Dr. Day, and the rest of our family at Cevey Pediatrics, we'd like to wish you all a beautiful Easter!

Our patients mean the world to us here at Cevey Pediatrics!

Check out what our patients are saying about Dr. Barakah Day below!

At Cevey Pediatrics, our focus is always to give our patients the welcoming feeling they deserve when visiting their doctor. Our modern and technologically advanced office is equipped to give our patients (and their parents) the utmost confidence when visiting Dr. Cevey. Through our caring and friendly staff, you're sure to feel right at home when you step through our doors. Rest assured, you can lean on us --we look forward to taking care of you and your family here at Cevey Pediatrics.

Give us a call to book an appointment today!
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In observance of Good Friday, Cevey Pediatrics will be closing at 12 PM 3/29/2024 and will reopen on Monday 4/1/2024.

Molluscum Contagiosum Virus: An Overview with Cevey Pediatrics

𝗪𝗛𝗔𝗧 𝗜𝗦 𝗜𝗧?
Molluscum contagiosum is a common skin infection caused by a virus. It mainly presents as round nonitchy nonpainful bumps varying in size from tiny pinheads to eraser-sized bumps. If the bumps are scratched open, the virus can spread. While Molluscum naturally goes away, it usually takes at least a year, sometimes 2-3 years to do so.

𝗧𝗥𝗘𝗔𝗧𝗠𝗘𝗡𝗧
• Applying anything topically to the bumps that causes mild to moderate local irritation can trigger the immune system to respond to the irritation and in doing so also kill the virus. Keep in mind that these treatments may still take several months to result in clearance of the virus.

-this could include undiluted apple cider vinegar, or over-the-counter or prescription leave-on treatments for acne or aging (benzoyl peroxide, salicylic acid, other alpha- and beta-hydroxy acids, Differin, Retin-A, etc)

• Cantharidin is also now available to pediatricians, but does have to be approved by the insurance company. If approved, we apply the treatment here in office. Be aware that it does cause a small blister to form at the site(s) of application which should resolve within 3-5 days of forming. Follow-up treatments should be done every 3 weeks, but usually after the second to third cycle of treatments, complete resolution is expected.

Are you concerned about Molluscum affecting your child? Make an appointment with our practice today!

𝗔𝗹𝘁𝗶𝘁𝘂𝗱𝗲 𝗦𝗶𝗰𝗸𝗻𝗲𝘀𝘀: 𝗔𝗻 𝗢𝘃𝗲𝗿𝘃𝗶𝗲𝘄 𝘄𝗶𝘁𝗵 𝗖𝗲𝘃𝗲𝘆 𝗣𝗲𝗱𝗶𝗮𝘁𝗿𝗶𝗰𝘀

Altitude sickness is a combination of symptoms that can result when you take in less oxygen than your body is used to because of travel to a high elevation (8000 ft or higher).

Acute mountain sickness (AMS) is the mildest, most common presentation of altitude sickness. If someone who already has AMS continues to ascend without giving his body a chance to adjust, more serious complications may develop.

The best way to prevent altitude sickness is to take your time when traveling to higher elevations. Therefore a road trip from sea level to Denver (5000 ft) is unlikely to result in altitude sickness, but if flying, you may want to spend a night or two at an intermediate elevation. Acetazolamide often is prescribed for adults to prevent altitude sickness in adults but for pediatric patients it technically is considered off-label to prescribe acetazolamide to prevent or treat altitude sickness.

𝗪𝗵𝗼 𝗶𝘀 𝗺𝗼𝗿𝗲 𝘀𝘂𝘀𝗰𝗲𝗽𝘁𝗶𝗯𝗹𝗲 𝘁𝗼 𝗮𝗹𝘁𝗶𝘁𝘂𝗱𝗲 𝘀𝗶𝗰𝗸𝗻𝗲𝘀𝘀?
- a child with chronic heart or lung disease
- babies younger than 3 months of age

𝗦𝘆𝗺𝗽𝘁𝗼𝗺𝘀 𝗰𝗮𝗻 𝘀𝗵𝗼𝘄 𝘂𝗽 𝗮𝘀 𝗲𝗮𝗿𝗹𝘆 𝗮𝘀 𝟭-𝟮 𝗵𝗼𝘂𝗿𝘀 𝗮𝗳𝘁𝗲𝗿 𝗮𝗿𝗿𝗶𝘃𝗮𝗹 𝗯𝘂𝘁 𝘂𝘀𝘂𝗮𝗹𝗹𝘆 𝗯𝗲𝗴𝗶𝗻 𝘁𝗼 𝗮𝗽𝗽𝗲𝗮𝗿 𝟴-𝟯𝟲 𝗵𝗼𝘂𝗿𝘀 𝗮𝗳𝘁𝗲𝗿 𝗮𝗿𝗿𝗶𝘃𝗮𝗹
- change in normal behavior such as problems sleeping or trouble eating
- increased irritability
- headache, dizziness, fatigue
- difficulty breathing with exertion
- nausea and vomiting

𝗦𝗶𝗴𝗻𝘀 𝗼𝗳 𝗺𝗼𝗿𝗲 𝘀𝗲𝗿𝗶𝗼𝘂𝘀 𝗮𝗹𝘁𝗶𝘁𝘂𝗱𝗲 𝘀𝗶𝗰𝗸𝗻𝗲𝘀𝘀
- confusion
- pale or bluish complexion
- cough
- difficulty walking
- shortness of breath even when resting

𝗛𝗼𝘄 𝘁𝗼 𝘁𝗿𝗲𝗮𝘁
- retreat to a lower altitude so that she can acclimate more gradually. Symptoms should subside within a couple of days
- encourage fluids to maintain good hydration status
- acetaminophen or ibuprofen (depending on age) as needed for headache
- encourage your child to take deeper and slightly faster than normal breaths

Go to the nearest ER for difficulty breathing, turning blue, or anything more than minor discomfort!