For parents opting to use Telemedicine for future appointments please watch this video:
Below are several common topics including positive parenting, development, behavioral health, common illnesses, and injuries, with links to further information and diagnostic tools we find helpful in our evaluation and discussion.
If you would like more information on a topic, or have a question that is not addressed, we recommend that you consider the information provided by the American Academy of Pediatrics at www.aap.org or www.healthychildren.org
We are always here for you. If you have a healthcare question, you can always call our office and speak with a nurse or provider, or you can schedule an appointment to talk with one of us face to face.
How to Explain Coronavirus to a Child with Anxiety
Coronavirus is scary for all of us. For children with comorbid anxiety disorder, school closures and health threats are downright paralyzing. Here are 11 expert tips for talking to your child about COVID-19, navigating the next few weeks at home together, and living with the constant hum of uncertainty in an ADHD household.
Stony Brook Pediatrics partners with Cyracom Language Solutions to provide language interpretive services as well as Sign Language Interpretation. This is available in both our offices for all appointments.
(Centro de Toxicología)
You can reach poison control at 1-800-222-1222. You can also call us at any time at 585-335-5200, or ask for us after office hours at the Noyes Health Services, at 585-335-6001
Relating to Your Child
Consider reading 6 Strategies for a Better Relationship With Your Child, by Michael Courter. This brief but insightful article offers great advice on how parents can build a better connection with their children.
The Center for Parent Information and Resources has a list of helpful articles and links for positive methods in dealing with challenging behaviors. Check the Behavior at home page.
For practical advice for improving communication with your child, or help with difficult or challenging behaviors, consider the following books (with links to Amazon.com):
- How to Talk so Kids will Listen, by Adele Faber
- Normal Children Have Problems Too, by Stanley Turecki MD
- The Explosive Child, by Ross Greene MD
Creating Structure and Rules resource from the CDC
Many products and items are recalled by manufactures. For the latest recalls, ranging from car seats to toys, please visit www.cpsc.gov
Bright Futures is a program developed by the American Academy of Pediatrics to help educate parents throughout their child’s development. Below are handouts that provide a basic outline for your child’s development, behavior, and nutritional and safety needs as they grow. Keep in mind that each child develops a little differently and ask your provider about any questions or concerns you may have.
Folletos de desarrollo para los padres, en español
- CDC Milestones Page: http://www.cdc.gov/ncbddd/actearly/milestones/
- CDC Milestones Tracker App: https://www.cdc.gov/ncbddd/actearly/index.html
- CDC Vaccine Schedule Page: http://www.cdc.gov/vaccines/schedules/easy-to-read/child.html
- Printable PDF of combined Immunization and Milestone Record for parents: http://www.cdc.gov/vaccines/parents/downloads/milestones-tracker.pdf
Behavior and Psychosocial
Attention-deficit/hyperactivity disorder (ADHD) is a condition of the brain that makes it hard for children to control their behavior. It is one of the most common chronic conditions of childhood. Visit Understanding ADHD, The ADHD Slide Show, or check out ADDitude.
For insights for positive parenting and a strength-based approach to ADHD: www.drhallowell.com
- Parent Vanderbilt Form: parent vanderbilt
- Teacher Vanderbilt Form: teacher vanderbilt
- Adult ADHD Symptom Self-Report Form: adult ADHD self report scale
Decision Making Aids for Treatment Options:
- Parent ADHD Treatment Option Cards
- ADHD medication comparison card
- Positive Interventions FBAs and BIPs
- Starter Set Family Student Meeting Prep Starbridge
- Rights of Children with Behavioral Needs
The peds 2011 adhd guidelines of diagnosis and treatment, by the American Academy of Pediatrics.
Autism Spectrum Disorders:
A family handout discussing the diagnosis of Autism Spectrum Disorders (ASD): Autism Spectrum Disorders
The M-CHAT is a diagnostic tool that can be helpful in the screen of Autistic Spectrum Disorders, typically used at 15months of age. Here is a link to an interactive online M-CHAT, or you can complete a printable M-CHAT form: M-CHAT-R_F
- Autism-Up: (585) 248-9011 The leading Rochester based program of advocacy, information, and support for individuals with autism and their families. Periodic scheduled Parent Workshops and Special Family Events are one of the resources available.
- Autism-Speaks: (888) 288-4762 Autism Speaks is the world’s leading autism science and advocacy organization
- The Arc of Livingston-Wyoming: (585) 658-2828 The Arc of Livingston-Wyoming empowers people of all ages to experience the joys and challenges of life with a growing sense of personal dignity and independence.
Substance Abuse Prevention:
The use of tobacco, alcohol, and other drugs is one of the biggest temptations facing young people today. As a parent, you are your child’s best protection against drug use. You can start by telling your children that you expect them not to use drugs and become informed yourself about drug use. Substance Abuse Prevention
For help dealing with the challenges of chemical dependency, consider CASA of Livingston County
Your Child’s Mental Health
Have you noticed a recent change in your child’s behavior? Is she having trouble getting along with friends? Is he failing school? Is this new behavior affecting your family? If you are concerned, remember that your child’s doctor can help. Our providers include mental health and behavioral health screening in well-child visits, and are comfortable discussing and managing behavioral and emotional concerns as they arise. We work with local mental health services in a integrated team approach to provide optimal care for your child. AAP Mental Health PDF
- Screening tools for anxiety disorders, for the child ( scaredchild-final ) and the parent ( scaredparent-final )
- Screening tool for depression: Columbia-Depression-Scale
Helping Children with Anxiety:
Anxiety disorders are the most common mental health conditions in youth, with between 10-13% of kids struggling with excessive anxiety. The good news is that they are also among the most effectively treated mental health condition. Learn more at http://copingcatparents.com
Depression Self Help Planners:
Books, Stories, and Memoirs:
The American Academy of Child and Adolescent Psychiatry has compiled a list of books and other resources to help children and families living with mental illness. Suggestions for children ADHD, anxiety, OCD, autism, and other mental illnesses are provided. To learn more, visit http://www.aacap.org Need help now? Call us, we are here for you. Other resources for urgent matters include Livingston County Mobile Mental Health; you can visit their website, or call them at 585-243-4533, or simply call 211. For emergencies, call 911.
School & Learning
The LD Navigator is like a compass to help guide parents through the complex seas of learning disabilities. It has the latest up to date information on evaluating, classification, and treatment. For more information
Learning English as a Second Language:
Parents of our patients who are interested in building fluency in reading and writing English as a Second Language, and individuals interested in becoming a ESL tutor, should consider Literacy Volunteers of Livingston County
The Khan Academy:
Help your child thrive at school! The Khan Academy is a nonprofit organization that provides a free world-class education for anyone anywhere. Khan contains is great for helping middle and high school students learn.
Technology, Entertainment, Design:
TED is a nonprofit organization devoted to Ideas Worth Spreading. It started in 1984 as a conference bringing together people from three worlds: Technology, Entertainment, and Design. TED is a great place for older kids and teens.
Parent Resources for the NYS Common Core:
Everyone wants their child to get the most benefit possible from school. Engage NY is a website that contains a “toolkit” for the Common Core Curriculum. The Toolkit for Parents and Families is a collection of materials and resources that will help parents and families understand the New York State education reform initiatives and how the changes will help your child graduate from high school ready for college and careers.
Collaborative Troubleshooting Challenging Behaviors at School:
The following is based off of www.livesinthebalance.org headed by Ross Greene MD. This approach addresses challenging behaviors by identifying areas of particular needs (lagging skills, unsolved problems), engaging in active, empathic listening, and working collaboratively with the student to build mutually helpful “Plan B’s”.
- The Assessment of Lagging Skills and Unsolved Problems Form: (ALSUP) and ALSUP Guide
- Guide to Active & Empathic Listening: Drilling Cheat Sheet
- Plan-B Cheat Sheet: Plan B Cheat Sheet
- Printable Problem solving planner: Problem Solving Plan
Asthma is a chronic disease of the airways within the lungs. The airways can be very sensitive and inflamed, even though symptoms are not always apparent. The degree and severity of airway irritation varies over time. Proper control and prevention are the most important goals of asthma treatment. Asthma PDF
Know your child’s asthma action plan
Understand how we determine asthma severity and determine the best treatment: Asthma Basics Charts (National Heart Lung and Blood Institute)
Most infections are caused by germs called viruses and bacteria. While you can’t always keep your child from getting sick, it is important for parents to know how to keep their children healthy and what to do when they become sick.
Here are some tips to help you prevent, recognize, and care for common childhood infections.
This handout explains the anatomy of a child’s ear and how children get ear infections. Parents can take certain steps to help prevent ear infections in their child, but most children have at least one while they are young.
This handout explains the anatomy of a child’s ear and how children get ear infections.
Hand Foot and Mouth Disease:
Hand-foot-and-mouth disease is a viral infection most often seen in infants and children younger than 10 years. It is most commonly caused by coxsackievirus A16. Hand Foot Mouth
Scabies is a very itchy, contagious skin infection caused by microscopic mites that burrow into the skin’s upper layers and cause a rash. It is an infection that occurs not only in children, but in people of all ages. Scabies causes a rash that appears 2 to 4 weeks after the mites enter the skin. The rash is actually the body’s reaction to the proteins, eggs, and excretions of the mites. It can be extremely itchy and become worse at night. Along with a rash, the burrowing mites can form threadlike gray or white lines on the skin that resemble irregular pencil marks. Scabies
Strep throat is an infection caused by a specific type of bacteria, Streptococcus pyogenes. When your child has a strep throat, the tonsils are usually very inflamed, and the inflammation may affect the surrounding part of the throat as well, with fever and swollen lymph glands around the neck and jaw. To some extent, the symptoms of strep throat depend on the child’s age. Strep Throat
Pertussis, or whooping cough, is less common in young children than it used to be, as the pertussis vaccine has made most children immune. Before this vaccine was developed, there were several hundred thousand cases of whooping cough each year in the United States. There has been a recent increase in the amount of pertussis due to decreased immunization rates. This illness is caused by a bacteria that attacks the lining of the breathing passages (bronchi and bronchioles), producing severe inflammation and narrowing of the airways. It can cause significant illness in the very young. Severe coughing is a prominent symptom. If not recognized properly, the bacteria may spread to those in close contact with the infected person, through respiratory secretions. Whooping Cough
For help in learning to live with diabetes, a local resource is the Noyes Diabetes Program: diabetes-education-program-2016
Head lice are tiny,wingless insects that live close to the human scalp. They feed only on human blood. Head lice cannot jump or fly, and they do not spread disease. Adult lice are about the size of a sesame seed and are tan grayish-white in color. Nits are head lice eggs. When Nits first appear, they may be mistaken for dandruff because of their size and color. Anyone can get Head Lice. It is a common condition in school-age-children. Personal hygiene and cleanliness of home, clothes or hair have nothing to do with getting Head Lice. Here are some helpful hints to help treat Head Lice:
- -Nix can be purchased over the counter, please be sure to leave on for 1 hour prior to rinsing as this will increase it's ability to work
- -Comb out nits and dead bugs
- -Apply Cetaphil lotion and bake it on with hair dryer and leave on overnight
- -Wash hair in AM
- -Comb each day, if nits cling on rinse hair with a solution of 1/2 white vinegar and 1/2 water
- -Clean hair properly following this treatment
- -Child can return to school even if still has nits
- -Please contact our office with any further questions or issues with your child returning to school
The ACL is the ligament that connects the femur (thigh bone) and tibia (shin bone) inside the knee joint. It is also a common injury among young athletes. This PDF provides information on ACL injuries. ACL Injury PDF
Ankle sprains are another common injury in young athletes and active children in general. This PDF provides information on treating ankle sprains Ankle Sprain Treatment
A concussion is an injury to the brain that disrupts normal brain function on a temporary or permanent basis. Concussions are typically caused by a blow or jolt to the head and are common in contact sports. Concussion Information
Here is a Post-Concussion Symptom Log for Parents: Parents Post Concussion Form
Concussions are serious injuries to our athletes, regardless of age. If a concussion is diagnosed, rest and avoiding possible further injury is key to optimal recovery. You can access the CDC’s HEADS UP website for guidelines of return to school and sports. Typically, athletes are not cleared for return to sports until they have been completely symptom free for at least 24hrs, longer if younger, and extended to a 1 week if the athelete has had previous concussions. After medical clearance, it is then important that the athlete complete a Graduated Return to Play Protocol, typically directed through the school with our guidance as needed.
Shin pain occurs most frequently in athletes involved in running, jumping, or high-impact sports. Shin pain can be caused by shin splints (also called medial tibial stress syndrome), a stress fracture of the tibia or fibula, or compartment syndrome. Shin Pain PDF
Sports injuries are very common with young athletes. Proper treatment is crucial for a quick recovery. Treatment programs are specific to the individual needs of the athlete and the injury. The following PDF includes information from the American Academy of Pediatrics summarizing general rehabilitation principles and the importance of each phase treatment. Sports Injury Treatment PDF
Ice and Heat:
How to correctly use ice and heat to help with injuries. Proper use of ice and heat
New York EDEN
The New York Extension Disaster Education Network (NY EDEN)is a collaborative educational network based at Cornell University, dedicated to educating New York residents about preventing, preparing for and recovering from emergencies and disasters that could affect their families and communities. NY EDEN is affiliated with both the national USDA EDEN network and with Cornell University Cooperative Extension. Click here for more information.