MiChild Magazine September 2011

The Local Parenting Resource for Expectant Parents and Families with Younger Children

SEPTEMBER 2011

Food Allergies in Babies Teaching My Kids NOT to Share

Concerned Your Child May Have Autism?

How to Talk to Your Doctor & Other Resources

The No.1 Call

NEW Moms

Forget to Make

Serving: Granger • Mishawaka • Elkhart • South Bend • Goshen • Niles • Edwardsburg • Middlebury

All About Healthy Children

MichianaFamilyMagazine.com

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Contents

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PUBLISHER & EDITOR-IN-CHIEF: Betsy Tavernier Betsy@MichianaFamilyMagazine.com EXECUTIVE EDITOR: Kerri Hagens Kerri@MichianaFamilyMagazine.com

Mi Corner:

TERRITORY MANAGER: Marcy Blesy Marcy@MichianaFamilyMagazine.com

5 Story Time

CREATIVE DIRECTOR: Jena Bontrager Jena@MichianaFamilyMagazine.com

Newborns

DISTRIBUTION MANAGERS: • Richard Cox – St. Joseph & Cass County • Don Tavernier – Elkhart County

4 Picky Picky

6 Food Allergies in Babies

By Dr. Jim Harris

Expecting:

8 The No. 1 Call New Moms Forget to Make

By Daniel Kinney, M.D., & Dana Heuermann, R.N.

Big Kids:

10 Teaching My Kids Not to Share

By Michelle Wegner

Mommy & Daddy: 12 Concerned Your Child May Have Autism?

How to Talk to Your Doctor & Other Resources

12 2

By Sorah Stein and Shanti Bradley

www.MichianaFamilyMagazine.com mi child magazine september 2011

Mi Child Magazine is a special parenting section of The Family Magazine of Michiana, and we’d love to hear from you for any of our publications! Please submit press releases, event information and inquiries to: Media@MichianaFamilyMagazine.com Michiana Family Magazine 5230 Beck Drive Suite #3B Elkhart, IN 46516 PH: 574.293.FAM1 (3261) • FX: 574.217.4700 www.michianafamilymagazine.com MiChild Magazine is a Special Parenting Feature Section of Michiana Family Magazine LLC. September 2011, Published Monthly.

Supplement Established 2009.

All rights reserved.

The opinions expressed in this publication are those of the authors and/or contributors and do not necessarily reflect those of the publisher, the editors or the advertisers. Permission from the publisher is required for any reproduction or reprint of this supplement or publication. Volume 3 : Number 5

The FAMILY Magazine is a proud member of PMA

MichianaFamilyMagazine.com | september 2011

Imagine...

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Enjoy a fun day filled with: Scarecrow making, hand-painted pumpkin caricatures, face painting, and other family activities!

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mi Corner Our tips, picks, news and advice.

Picky Picky

We’re always on the lookout for products we think will be a hit with you and your family. Check out these items that caught our eye this month!

Baby’s First Bow Looking for a memorable baby shower gift? Try Ladybugs & Lullabies’ Baby’s First Bow. It’s the perfect gift for the mom who can’t wait to start doing her little girl’s hair! These bows come in a small snap clip and work in the finest of baby hair. They range from simple and classic (Katie and Ella) that are made of ribbon and in precious pink, or are available in a variety of colors and ribbon patterns. Check them out at ladybugsandlullabies.com.

Price: $4.99 (for all bows)

Personalized Jewelry from IsabelleGraceJewelry.com Celebrity moms including Katherine Heigl, Tori Spelling and Alison Sweeney – to name just a few – have been spotted proudly keeping their children close to their hearts with beautifully-handcrafted, personalized necklaces from Isabelle Grace Jewelry. Visit www.IsabelleGraceJewelry.com to see for yourself.

Price: Starting at about $60.00

22 Days Nutrition Bars Great to pack with the kids for the school year, these delicious and nutritious bars are USDA certified organic, gluten-free, packed with vitamins, minerals and antioxidants and contain no preservatives or artificial ingredients. Try their wide variety of flavors like Delicious Daily Mocha Mantra, Cherry Chocolate Bliss, and Nut Butter Buddha Crunch (just to name a few). The bars are sold at The Vitamin Shoppe. And you can find them online at www.22daysnutrition.com.

Price: Varies

Light in the Night From LiveLaughLoveGifts.com No more monsters! That’s the perfect exclamation for A Light in the Night. Created by a mother to comfort her son when he moved to his “big boy bed,” the gift set includes an adorable light-up creature and beautifully illustrated board book. Just one soft press of the tummy emits a bright glow which proves once and for all there is nothing going bump in the night. Creature available in your choice of Bubble Gum Pink, Mint Green or Ice Blue.

Price: $34.99

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mi child magazine september 2011

MichianaFamilyMagazine.com | september 2011

mi Corner Our tips, picks, news and advice.

DVDs for The Family

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Reviews by Linda Hickman Media Services Mishawaka-Penn-Harris Public Library

Junkers Come Here Lonely eleven-year-old Hiromi Nozawa shares her family’s problems with her dog, Junkers the Schnauzer. Junkers talks to Hiromi (or does he?) and also has the power to make three wishes come true. Hiromi’s parents have demanding careers and work long hours, leaving her with Fumi, the maid, and Keisuke, her tutor. Her parents also do not get along well, making Hiromi sad.

“Junkers Come Here” is a pleasant, animated fantasy film on DVD in English and Japanese with English subtitles, rated 7 years and older with minor toilet humor and tobacco and alcohol use.

Faith Like Potatoes This is a true story based on the life of Angus Buchan, a farmer who moves his family to South Africa and suffers a series of seemingly insurmountable losses. He discovers his life’s true purpose through divine intervention and his strong belief in the power of faith, which, like potatoes, grows unseen until the harvest. Bonus features include: "God's farmer": a 54-minute documentary on the amazing life and journey of Angus Buchan. “Faith Like Potatoes” is a compelling drama film on DVD, rated PG with parental guidance suggested for some thematic material, an accident scene, mild language and brief smoking.

Opposite Day A science experiment gone wrong makes everyone in a small town suddenly swap identities. Parents act like kids. Their kids behave like adults. The oldest cop is 11 years old, and grown-ups are playing hopscotch! But can a bickering young brother and sister find a way to save their upside-down town before this reverse spell can take over the globe? “Opposite Day” is a family comedy film on DVD and is rated G.

eedback

As if your body isn’t going through enough strange changes during pregnancy, be prepared for some out-of-the-blue food cravings that can be downright weird.

We asked moms in our Facebook community what they craved when they were preggers, and here’s what they had to say: JENNIFER: Steak!

WADE: Anything I could keep down....

STEPHANIE: Ice cold fresh fruit and veggies!!

TRACY: Skittles & french fries for 3 out if 4 pregnancies.

Join our lively Facebook community and get in the convo!

Facebook.com/The-FAMILY-MAGAZINE-of-Michiana

JENNY: Double cheeseburgers from McDonald’s with extra cheese and McDonald’s sweet tea.

STOCK: Starbursts TRACY: Any fresh fruit I could get my hands on, once I got past my 8 months of SEVERE morning sickness that lasted 24 hours a day.

Food Allergies in Babies

M i C H I L D • S P E C I A L PA R E N T I N G F E AT U R E S E C T I O N

Newborns

By Dr. Jim Harris

You have the perfect baby. She is everything you ever dreamed she

would be. She is so cute and has a beautiful little smile. She even sleeps through the night! Everything is going so wonderfully. You love nursing her, and she is growing well. Then you give her that first bottle of formula, and it all comes right back at you. You wait a few days and try it again; this time, she not only throws up, but she breaks out in a rash and begins to cough.

You switch from the cow’s milk formula that you tried first to a soy-based formula. This time she still throws it up, but no coughing or rash.

What Happened?

Well, your baby may have a food allergy. Food allergies affect up to 5% of infants, and they usually present in the first year of life.

Cow’s milk is the most common, so it usually shows up when Mom tries to start her baby on formula. Unfortunately, about 30-40% of those with a milk allergy also have an allergy to soy, so switching formulas doesn’t always solve the problem. The reactions can range from vomiting and diarrhea to more severe problems such as hives and asthma, even shock in extreme cases.

Egg and peanut allergies are next most common, but often show up later when you introduce solids, usually after 6 months of age.

Lactose intolerance is a common problem as well, affecting over 20% of the population. It’s sometimes hard to tell apart from a true milk allergy because it causes GI symptoms as well, but not rashes or breathing problems. These children simply lack the enzyme to digest lactose, the sugar in milk. They do tolerate soy formulas and also do just fine if they are given milk with Lactaid drops or even Lactaid milk, which is pretreated.

Could it be Colic?

This usually causes fussiness for hours on end, starts in the first month when you are still just nursing your baby, isn’t tied in with feedings and is almost always gone by 3 months of age. Therefore, it’s usually easy to tell apart from food allergy.

So, What’s a Parent to do?

When your baby has a reaction, how do you deal with it? The short answer is to simply avoid that food. However, that is sometimes easier said than done. I would recommend you talk with your baby’s doctor, whether it’s a pediatrician or a family physician. They can help you sort out what foods to avoid and what alternatives might be available to you. If the reaction was potentially severe enough, your doctor may also recommend an EpiPen. An EpiPen contains injectable epinephrine, a drug that rapidly reverses severe allergic reactions.

Your doctor can also help you decide whether testing is indicated.

Testing can be done using skin tests or blood tests. Sometimes

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mi child magazine september 2011

your doctor may suggest you see an allergist to help you evaluate your baby’s problem. An allergist is a physician who, among other things, has special training and expertise in food allergies. He or she can help guide you through the challenges of figuring out how to feed your baby safely, yet still be on a diet that will allow you to eventually wean her and transition to regular foods.

Can You Prevent or Predict Food Allergies?

Unfortunately, there is really no good way to predict which babies will get food allergies, so it ends up being discovered when your baby tries a new food. It does happen more often in families with a history of allergies, but that still doesn’t tell you what will happen when your baby tries a food for the first time.

Will it Ever Go Away?

The good news is that nearly all babies with milk or soy allergies outgrow them and can safely take them even before 2 years of age. Only about 1% of the children with milk allergy still have it by age 5. The news is not as good for those with egg or peanut allergies; most outgrow their egg allergy, but it usually takes longer than with milk, often 3-5 years, before all reactions go away.

Peanut allergy is the most difficult because only 10-20% of children outgrow it. And the number of kids who have this allergy is growing every year; in fact, by kindergarten, 1% of all children have a significant peanut allergy. Unlike most of the egg and milk allergic children, those with peanut allergy will still need to have their Epipen available when they start school, in case of an accidental ingestion. They also need special precautions when it comes to school meals and snacks.

What’s The Worst That Can Happen?

Yes, you do hear stories about patients dying from a food allergy reaction. However, the reality is that in spite of all the children who have this problem, deaths are extremely rare. I personally have over 400 children in my practice with peanut allergy, and not one of

MichianaFamilyMagazine.com | september 2011

7

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them has even been hospitalized yet. Still, you need to make sure that everyone who takes care of your child and might feed them anything, even a snack, is aware of how serious it could be.

So, your perfect baby has a food allergy? Relax. Chances are excellent he or she will outgrow it, even if it takes a few years. If not, even if it’s a peanut allergy, it’s highly unlikely that anything really bad will happen.

As with so many things in childhood, your watchful eye and guiding hand can help your child avoid reactions and lead a normal, healthy life.

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Expecting

The

No. 1 Call NEW Moms Forget to Make

By Daniel Kinney, M.D., and Dana Heuermann, R.N.

An expectant mother is often a world-class planner. She packs her hospital suitcase two months or more before delivery; she has preprogrammed her phone to auto-text to her loved ones announcing the baby’s arrival. However, the one person she may forget to assign to speed-dial may be the most important for her baby: a pediatrician.

Unlike general practitioners, who study adult and child care, pediatricians spend an extra three years studying only pediatrics.

They generally care for a patient until he or she is ready to choose a doctor independently. This means that your baby’s doctor becomes like another member of the family, so choose this longterm partner wisely.

To help, we’ve created a checklist for all of you expectant moms. Rip this page out, and take it with you as you scout for your baby’s pediatrician.

Talk to the Experts Take advantage of the knowledge of your current caregivers: your ob-gyn or midwife, her nurses and childbirth educators. After all, they probably have an inside line on the best docs in town. Put their (and your knowledgeable friends’) recommendations at the top of your list.

Background Check Once you have an initial list of potential doctors, call your insurance plan and see who’s cross-listed with them. This will save you time in the long run. You may also want to call the doctors’ offices and check if your potential doctors have privileges at your delivery hospital. If not, he or she may not be able to do the initial examination of your child.

Experience vs. Freshness Depending on your preference, you may want a doctor with more experience. Or, you may think that doctors who are recently out of medical school may be more up-to-date on the latest technology.

In either case, know what you want before you visit.

Certifiably Wonderful If he or she has been out of medical school for more than seven years, a pediatrician should be certified. If less than seven years, he should be working toward certification, and don’t be afraid to ask if this is the case. You can check your doctor’s certification online for free at www.certificationmatters.org. Plus, unless your doctor received his medical degree before 1988 (when he’s grandfathered into the recertification system), he should renew his certification every seven years.

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mi child magazine september 2011

Continuity or Variety?

Consider how many doctors serve in the practice you’re considering, and if your child will be seeing more than one of them due to scheduling. In this case, you could have the best of both worlds – young, fresh doctors and older, more experienced doctors working together.

On the other hand, your child may not have the same continuity of care if he is seeing a few different doctors. Practices with fewer doctors offer more continuity, but may pose scheduling challenges.

Wait No More Now that you’ve probably narrowed the list to a few offices, schedule an introductory visit. When you walk into the waiting room of the office, notice the small things. Does it appear to be up-to-date and clean? Are there separate waiting and play areas for sick and well children? Do the people in the waiting room seem patient and calm, or irritated because they have been waiting too long?

Interview Skills The visit with the doctor may only last five minutes, but you can ask her questions about her certification, experience, thoughts on immunization schedules and about the practice’s after-hours or extended-hours care, if they have any.

Note not only the doctor’s answers, but also pay attention to her mood. Does she observe, listen and respond respectfully? Does she ask you questions and listen to your answers? Do you feel rushed through the visit or welcomed?

A Careful Start Your pediatrician should come to the hospital after your child is born; then she can assess the baby’s initial health. Your first visit to the office will be shortly after you leave the hospital.

The top reasons a parent brings an infant or toddler to the pediatrician, other than for his regular checkups, are rashes, feeding difficulties, or irregular or loose stools. Trust your instincts. If your child doesn’t appear to be acting as usual, call the office or bring him in. Mothers are the best gauges for a child’s health.

MichianaFamilyMagazine.com | september 2011

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ARE YOU READING TO ME? Keep Reading reading

the same book again and again increases vocabulary and attention.

reading

20 minutes a day promotes listening and curiosity, and builds closeness and language skills.

reading

is learned over time with lots of practice and the help of another person.

reading

to your children from birth wires brain cells together to promote independent reading.

If your doctor doesn’t respect your opinions and concerns, then he is not the right pediatrician for your child. And remember, while choosing a doctor is important, you can always change your mind.

Just pull this list out of your file and start again.

As a team, Daniel Kinney, M.D., of Navarre Pediatric Group, and Dana Heuermann, R.N. of the Memorial Childbirth Unit, teach the After Baby Comes classes at Memorial. The classes aim to help parents learn (or re-learn) the basics of parenting a newborn.

Every child in Elkhart County will enter school prepared to succeed.

Visit www.familiesfirst-ec.org for more information about early learning.

Families First, 1000 W. Hively Ave., Elkhart, IN 46515 Ph: 574-522-2590 • Fax: 574-295-7642

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Big Kids

Teaching My Kids

NOTto Share

By Michelle Wegner

The first time I brought our baby girl home from the hospital, I was completely unaware of the fierce Mommy protectiveness that lie hidden in me. Suddenly, the whole world was out to get my baby with all their germs, diseases and calamities. I wanted to hold Maddie close to me and not ever let anyone other than me or her daddy hold her for any reason. I even remember going to a Christmas party when she was a few months old. Rob and I made a secret pact that no one was going to hold or touch her for any reason except for us. We were slightly paranoid, but thought we were awesome parents for keeping her so healthy.

me one question: Do they sit in their own desks, or are they at shared tables? I told him they sat at shared tables, and shared all their supplies from a basket in the middle of the table. His answer: Germ Fest.

One time we had a “hacking” visitor ringing our door bell to see our newborn baby girl. By hacking, I mean, coughing and spewing and coughing. He walked in the door coughing, and between gasps, asked to see our new baby. I ran and hid with her while Rob explained that the baby was “busy.”

On top of taxes that we pay into our community for our children’s education, we pay between $100-$200 per child for supplies and textbooks at the beginning of each school year. The teachers do all the school supply shopping for our children. At first, I thought this was a wonderful idea. It saved me a ton of time, and my kids would have the same stuff as all the other kids. What I did not factor in was that all those supplies would be placed in bins in the center of each table for all the kids to share. I’m all about sharing, but quickly realized that they were sharing every sneeze, germ and booger that went from their classmates little hand to their marker to my kids’ hand when they shared that same marker.

Now that my kids are older, the protective fierceness has lessened some. I don’t make them take a bath in Purell after school, and I don’t always make them wash their hands. Despite my leniency on some of these things, I still feel this need to protect my children from the same germs, diseases and calamities that always seem like they are out to get them.

Because of these fiercely protective instincts, I await the first few weeks of school with dread. From the last day of the school year in the springtime until the first day of school in the fall, our kids are normally 100 percent healthy. To get ready for the “germ fest” of their school environment, I stock up the cabinets with vitamins, Clorox wipes, and most importantly, stock up on school supplies that my kids (hopefully) won’t be sharing.

Schools are being more cautious than ever in protecting kids from germs. Teachers faithfully scrub tables with antibacterial wipes, especially during the cold and flu season. Hand sanitizer is available to children at all times, and the bathroom sinks are in the hallways to make sure kids wash their hands after they use the rest room and before they eat lunch.

With all these precautionary measures, my kids were sicker last year than they have ever been. They each missed between 10-14 days of school, which is really a crazy amount for them considering they are generally very healthy and strong kids.

I remember the first week of school last year; Whitney came down with bronchitis. I got a call from the school nurse and had to pick her up from school. The school nurse said that it was the first week of school and already half the school was sick. I told that to our family doctor, Dr. Jesse Hsieh, later that day, and he asked

I’m opting out of sharing this year. I still have to pay the supply fee, but I am hitting the school supply sales and buying all school supplies. I am telling them for the first time in their lives NOT to share.

Dr. Jesse Hsieh of the South Bend Clinic stated that the most important thing to teach children about staying healthy in a “sick” environment is to keep their little hands away from their eyes, nose and off of their face. He said, “I work in a “sick” environment with sick people coming and going all day. The way I stay healthy here is to wash my hands frequently and to keep my hands away from my face.”

Keeping your children away from germs is next to impossible, unless it is a stranger that enters your home that is hacking and coughing that you can run and hide from. Taking precautionary measures such as buying their own supplies, not sharing, and keeping hands away from their little faces will ensure that your precious babies will have a happy and healthy school year.

Michelle Wegner is mom to three spirited little girls, Maddie-12, Whitney-10 and Isabelle-6. Her husband is a pastor at Granger Community Church, and they have been married for 17 years.

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MichianaFamilyMagazine.com | september 2011

11

Here we grow again!

WANTED:

Positive & outgoing people who love The FAMILY Magazines!

The FAMILY Magazine is growing and looking for awesome sales representatives who love our magazines, make friends easily and are motivated to help local businesses grow.

You must be goal-oriented, self-disciplined, computer savvy, never hesitant to provide the highest level of customer service and want to make good money.

Please send your resume to betsy@michianafamilymagazine.com

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Mommy & Daddy

Autism?

Concerned Your Child May Have

How to Talk to Your Doctor and Other Resources

By Sorah Stein and Shanti Bradley

Every parent worries about their child’s learning and physical development at some point. And while every child grows at his or her own rate, some children do have developmental delays, leaving parents with valid concerns that require attention. In light of the increasing rates of autism, parents may be more concerned about the possibility that their child may have autism. Some of us are simply nervous; some of us are justified in our fears. Here are some guidelines, pointers and resources you can use to tell the difference.

When to be Concerned

If by 9 months of age your child is not making eye contact, babbling, waving, pointing or smiling, these delays may signal a problem in development. Also, behaviors such as lining up his or her toys, hand-flapping, toe-walking, requiring a very rigid routine, refusing or excessively seeking certain sensory experiences (like running into walls repeatedly and intentionally grinding teeth, twirling, rocking and jumping, for example) are cause for concern by the age of 2.

How to Bring This Up with Your Physician

One option is to wait for your child’s routine check-up and mention your concerns when your child’s doctor asks developmental screening questions. However, should your child not be due for a routine check-up soon, make an appointment to see the doctor within two weeks. When meeting with the doctor, express your concerns about what your child is and is not doing: both are important!

If the doctor is not receptive to your concerns, one option is to wait a month or two and return and reiterate them. Another option is to seek a second opinion from another pediatrician, family physician, pediatric neurologist or developmental specialist. Most importantly, remember to trust your parental intuition. Be persistent if your child does not meet developmental milestones or engages in behavior that does not fit his or her developmental stage.

What Referrals You Should Expect or Request

Pediatric neurologists and developmental pediatricians most often diagnose developmental delays, including autism, in young children.

Child psychologists or psychiatrists might diagnose older children.

In addition, evaluations and possibly treatment by occupational therapists, speech therapists and physical therapists are common.

Developmental services through First Steps or behavioral therapies, including applied behavior analysis, may be beneficial to your child.

Your child’s primary care physician may need to refer your child to one or more of these specialists. If the doctor does not offer a referral, make sure to ask for it before he or she leaves the room.

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mi child magazine september 2011

Some Local Resources Disclaimer: This is not intended as an exhaustive list, and we apologize to any provider we omitted. The information provided is based upon our knowledge and input from Leanne Suarez, resource specialist at the Sonia Ansari Center for Autism at the Logan Center.

Psychologists:

• Dr. K. Cadwell, Cadwell Psychological Services, LLC, Plymouth, IN • Dr. S. Courtney, South Bend, IN

Psychiatrists:

• Dr. M. Goldstein, South Bend, IN • Dr. Stuckey, Oaklawn • Dr. Nasr, Michigan City • Developmental Pediatrics Clinic at Memorial Hospital, South Bend, IN

Occupational, Speech and Physical Therapy:

• Children’s Therapy Center – Memorial Children’s Hospital of South Bend • Pediatric Therapy Services at St. Joseph Regional Medical Center, Mishawaka, IN

Applied Behavior Analysis:

• Sonia Ansari Center for Autism at Logan • Partnership for Behavior Change, LLC

Other:

• Autism research at Notre Dame – F.U.N. Lab • Toy Lending Library at Logan Center • Educational advocacy services – INSource • Coursework in Applied Behavior Analysis – IUSB department of Psychology • Recreation programs – Hannah and Friends, Children’s Dispensary, Sonia Ansari Center for Autism at Logan • Therapeutic Horseback Riding – Reins of Life, LoveWay

MichianaFamilyMagazine.com | september 2011

13

Fall Fun Hayrides!

Bendix Woods County Park New Carlisle

September & October Day or evening hayrides available!

Enjoy the crisp autumn colors and a crackling campfire!

Tractor-drawn hayrides are a perfect outing for schools, churches, businesses, clubs and family gatherings!

For fee and reservation information: www.sjcparks.org or 574-654-3155 And check out Bones and Bonfires, Oct. 21, 6-9pm with live owls, hayrides, dinosaur artifacts, and more... $7/vehicle

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Shanti Bradley, BA, CD, CLS, lives in South Bend with her husband and two children. She is available for prenatal informational support, continuous labor support, postpartum care and education.

Sorah Stein, MA, BCBA, CSE, lives in South Bend with her husband and three children and is a Board Certified Behavior Analyst and Certified Sexuality Educator, working primarily with individuals with intellectual and developmental disabilities.

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For Women Only offers obstetrics, reproductive analysis, endometriosis, gynecologic surgery, prenatal and postpartum care, labor and delivery management, hormone replacement therapies, family planning and health consultations.

Located in the beautiful West Wing of Elkhart General Hospital, For Women Only combines the convenience and easy access of private physicians’ offices and the immediate proximity of important hospital-based services.

Booker T. Morris, MD • Enrique E. Infante, MD • Jeffrey L. Cain, MD • Lauren G. Outlaw, MD Certified Nurse Midwives Karey J. Hogue, CNM and Amanda S. Winters, CNM To schedule an appointment, call (574) 293-2893.

For Women Only is located at 1215 Lawn Avenue, Suite 100 in Elkhart.

A proud affiliate of Elkhart General Healthcare System