Banner_Total Kid–Summer2012

TOTAL HELPING ARIZONA PARENTS RAISE HEALTHY KIDS AND TEENS

IDE? S L O O P ol, Be co be safe

KID FEAR FACTOR

Easing kids’ fears about health procedures

Off the

Couch Out to play!

SPRING/SUMMER 2012

5

pool games

to make a

splash!

Our kids’ ER. Giant steps ahead of the rest.

Banner Thunderbird Medical Center supports kids with the highest level of childrenÂ’s emergency care in the West Valley. Unlike pediatric urgent care centers and many local hospitals, weÂ’re able to treat the most serious injuries thanks to our team of pediatric specialists and our childrenÂ’s intensive care units available 24/7. Our experienced child life specialists are

environment designed just for kids. As always, weÂ’re putting our best foot forward to make your ER experience the very best it can be.

www.BannerHealth.com/Thunderbird Physician information: 602-230-CARE (2273) Help support Banner HealthÂ’s nonprofit mission: 602-747-GIVE (4483).

Connect with us:

Editor’s Letter

Jim Williams, Editor and father of three

Hand me the sunscreen

I

want to share a recent conversation I had with my 8-year-old son about the “it’s a dry heat” concept. I tried to explain how low humidity makes the air temperature feel cooler than the blastfurnace 120 degrees it really is.

“Yeah, yeah, sure dad; whatever.

Can we go in the pool now?”

“Good talk, son.”

Arizona is different that way. For most kids, the long summer days mean more time to play. And that’s a good thing, as long as they have a healthy respect for the sun. The experts at Banner Thunderbird Children’s Center and Cardon Children’s Medical Center understand this better than most.

We all know how important it is for kids to get out of the house and exercise.

On page 6, Dr. Bill Schneider, the medical director of pediatric emergency services at Banner Thunderbird Children’s Center, discusses some basic ways to beat the heat. If you’ve got teens with a need to feed their tan, the story on page 7 will shed some light on whether that’s a good idea. One of the best places to be on a hot summer day is poolside. But please, parents, let’s be diligent when our kids are in the water. On page 8, Tracey Fejt, Cardon Children’s injury prevention coordinator, shares some great advice.

Finally, many kids have health procedures during the summer. It can be a scary proposition. Anne Bordal, a certified Child Life specialist at Banner Thunderbird Children’s Center, and Cardon Children’s pediatric surgeon Dr. Jonathan Greenfeld ease some of those fears. Story on page 10.

Enjoy this issue of Total Kid, and check us out at totalkid.azcentral.com. Oh, look for an exciting new Total Kid app for your iPad coming soon!

Publication of Republic Media Custom Publishing and az magazine.

Cover Photo: Jim Williams Sam and Lily Williams, children of Total Kid editor Jim Williams, love spending time in the pool on hot summer days.

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Contents Volume: 3 Issue: 1 – Spring/Summer 2012

The ABCs of SPFs

4

Are organic foods healthier?

5

Off the couch, out to play

6

Sun-kissed debate: Teens and tanning

7

Poolside? Be cool, be safe

8

Pool games

9

Most parents know that sunscreen is important, but how important are those numbers?

Pediatrician sheds light on whether eating organic is better for your kids.

It’s summer, and your kids have time on their hands. There are alternatives to playing video games and watching TV.

Laying in the sun, tanning booths, spray-on tans…are they safe? Find out.

Unintentional drowning is the No. 1 killer of children ages 1-5.

Make a big splash this summer

10

Fear factor … be gone!

Easing anxiety, prepping kids for a health procedure.

Resources, opportunities “What we wish parents knew”

Banner physicans offer helpful advice.

Pipe cleaner creatures

Check out this fun summer craft, vacation essentials, and tasty French toast.

CREATED BY REPUBLIC MEDIA CUSTOM PUBLISHING FOR BANNER THUNDERBIRD CHILDREN’S CENTER AND CARDON CHILDREN'S MEDICAL CENTER VOLUME 3, NUMBER 1 SPRING/summer 2012 General Manager: Cami Kaiser/cami.kaiser@pni.com Manager Creative Development: Isaac Moya/imoya@republicmedia.com Editor: Jim Williams/JLWilliams@republicmedia.com Managing Art Director: Tracey Phalen/tphalen@republicmedia.com Art Director: design RVB – Romeo Van Buiten Contributors: Rick D'Elia, Jessica Rush, Sally J. Clasen Total Kid magazine is published as a service to our friends and neighbors by Republic Media Custom Publishing for Banner Thunderbird Children’s Center, 5555 W. Thunderbird Road, Glendale, AZ 85306 and Cardon Children's Medical Center, 1400 S. Dobson Road, Mesa, AZ 85202. Material in Total Kid is obtained from a wide range of medical experts and health-care authorities. If you have any concerns about specific items that appear in Total Kid, consult your personal physician. To order a copy or to stop receiving Total Kid magazine, call Cami Kaiser at Republic Media Custom Publishing, 602-444-6899.

A division of Republic Media, 200 E. Van Buren St., Phoenix, AZ 85004, 602-444-1000

12 13 14

We exist to make a difference in people's lives through excellent patient care.

For information, call 602-230-CARE (2273) or visit BannerHealth.com/cardonchildrens BannerHealth.com/thunderbirdkids

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Quick Hits

abcs S

tore shelves are lined with sunscreen options, but choosing the correct “Sun Protection Factor” (SPF) can be confusing to say the least. SPF indicates the degree of protection against UVB light, suggesting the amount of time it would take before your skin burns. SPF doesn’t measure the risk for UVA light.

Always choose a broad-spectrum sunscreen that shields against UVA and UVB rays for both adults and children. The basic difference between adult and children’s sunscreens is the ingredients used, with those formulated for kids containing fewer fragrances and chemicals that might be harsh for

of SPFs up! e

Buckle

sensitive skin. The American Academy of Dermatology recommends all kids — regardless of skin tone — wear SPF 30 or higher and reapply every two hours.

While a higher SPF in theory provides better protection, factors like skin type, activity and location affect the formula.

In Phoenix, the exposure to heat and the sun is intense so sunscreen evaporates quicker and should be reapplied more often, especially if swimming or sweating. Adults and children should consider wearing a light sunscreen every day, especially if they spend time outside.

For more information, please visit www.

BannerHealth.com/BannerKidsSunSafe.

Trampoline injuries spike Trampolines are making a highflying comeback in backyards, parks and indoor jump centers across the Valley.

The trend also means a spike in injuries, according to Joseph Winchell, D.O, an emergency medicine physician at Cardon Children’s Medical Center.

“The majority of trampoline-related injuries that we see in the ER are wrist or clavicle fractures, which account for 85 to 90 percent of injuries, and are almost always from the child being bounced off.” Spinal cord injuries from neck fractures — which usually cause permanent disability — account for far less and mostly occur while a child is doing maneuvers on the trampoline with another person, not from falling off the trampoline, he adds.

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To reduce all trampoline injuries, Dr. Winchell recommends: 1 Use nets to enclose the trampoline and place protective padding around the outside.

2 Limit the number of children on the trampoline at one time.

3 Always have multiple adults supervising nearby.

4 Limit the maneuvers children attempt.

What’s wrong with this photo?

very year thousands of children die in car crashes from not being secured in a car seat.

To ensure your child’s safety, be sure you know the facts: • The American Academy of Pediatrics advises parents to keep toddlers in rear facing car seats until age 2, or until they exceed the height or weight limit for the car seat.

• Children under the age of 13 must sit in the back seat to avoid injuries caused by airbags.

• Car seats have expiration dates.

Do not use them after that date.

• If the car seat has been in a crash, it may be unsafe to use again.

Ashley Hineman, M.D., is a boardcertified pediatrician on staff at Banner Thunderbird Children’s Center.

She can be reached at 623-362-1818.

Additional Resources: www.aap.org; www.healthychildren.org; Auto Safety Hotline: 888-327-4236 spring/summer 2012

Dr. Kutler is a pediatrician with privileges at Cardon Children’s Medical Center.

For more information on this topic, contact Dr. Kutler’s office at 480-496-6444 or call 480-412-KIDS.

Q&A with Dr. Mary Jo Kutler

Weighing benefits of organic foods Q:

I have two children under 3 and have been reading a lot about organic foods. Is it important that I feed them an organic diet?

A: The most important thing you can do for your children is to feed them a balanced diet with fruits and vegetables, whole grains, dairy and lean meats. Remember, eating organic can provide some benefits, but doesn’t necessarily affect the overall health of your child.

Organic foods have become popular among parents because they are natural and have not been genetically modified. They are also typically free of pesticides and additives that may be used in the production of non-organic foods. Also, organic foods may taste better, and are generally more flavorful because they are fresher, and in the case of produce, usually in season. Reading labels is important. The term “organic” refers to the way agricultural products are grown and processed. Specific requirements must be met and maintained in order for products to be labeled as

Dr. Wendi Morfitt is a boardcertified pediatrician with offices in west Phoenix.

Her office can be reached at 623-889-3303.

Conventional foods are generally less expensive than their organic counterparts, and sometimes organic choices are limited depending on where you live. Making sure your children eat a variety of fruits and vegetables will contribute more to their overall health than choosing a strictly organic diet. Focus on helping your children develop healthy habits by serving balanced meals, and consult your pediatrician with any dietary questions.

Q&A with Dr. Wendi Morfitt

Concerns about bed wetting Q:

My 6-year-old son still wets the bed.

Should I be concerned?

A: It can be normal for children to wet the bed at this age and even older. Bed wetting occurs in 10 to 15 percent of kids between the age of 5 and 7. The key question is whether he has always wet the bed (primary enuresis) or whether he has been dry for awhile and is now wetting once again (secondary enuresis).

There are two main causes for primary enuresis.

The most common reason is the child’s brain has not developed the control to tell the body to hold in urine. Another less common reason is that some children have small bladders and are unable to store a full night’s urine until morning.

In both instances, the wetting is involuntary and not something for which a child should be reprimanded. A child who used to be dry at night and is now wetting should be evaluated by a

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“organic.” Organic crops must be grown in safe soil, have no modifications, and must remain separate from conventional products. Farmers are not allowed to use synthetic pesticides, bioengineered genes, petroleum-based fertilizers and sewage sludge-based fertilizers. A product labeled “natural,” “free range,” or “hormone free,” is not necessarily organic.

doctor. It may be normal but it could be caused by a medical problem or some type of external stressor. If both nighttime and daytime wetting is present, a bladder problem may be the cause and this also warrants a medical evaluation.

After age 7, treatment is available with bedwetting alarms or medication. The alarms are worn at night and beep or vibrate to wake the child when the underwear starts to get wet. They have a 75 percent success rate with children older than 7. Medication is also available that stops urine production at night. This works best for special occasions such as sleepovers or camp.

It is sometimes used long term but often the bed wetting returns once the medication is stopped.

If your child has a bed wetting problem, consult your pediatrician to see if it is normal or if there is a problem that needs attention.

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feature

off the

couch

out to

play!

Sun-safe activities and the importance of staying hydrated

By Sally J. Clasen

i

t’s right around the corner. Summertime in Phoenix and 110 degree temperatures. Where are your children likely to be? Probably indoors, in a dark room fixated on a video game or some other sedentary activity.

You can’t blame kids for wanting to retreat from the sizzling sun, but you know it’s healthy for them get outdoors and be active. To encourage your kids to venture outside during the summer, it’s important to cover some basic survival skills for beating the heat.

The hydration factor “The No. 1 reason for children visiting the ER in the summer is dehydration from heat exhaustion,” says Bill Schneider, D.O., medical director, pediatric emergency services at Banner Thunderbird Children’s Center in Glendale. “If unprotected, a child can start to exhibit symptoms of heat exhaustion in 40 to 50 minutes,” he says.

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The signs of heat exhaustion include fatigue, nausea, muscle/stomach cramps, lethargy, diarrhea and vomiting. “Parents often mistake the symptoms of heat exhaustion for the flu in kids during the summer,” Dr. Schneider says. A more serious form of heat exhaustion is heat stroke, when a person is mentally and physically unable to cool down his body because body temperature is equal to the outdoor temperature. “Heat stroke can lead to a coma,” Dr. Schneider explains.

Kids are especially prone to heat exhaustion because they have more skin surface compared to body mass, according to Dr. Schneider. Water is the best source to keep kids hydrated in the summer. The American Academy of Pediatrics suggests for children weighing 80 pounds, give at least 5 oz. of chilled water for every 20 minutes of play. For adolescent children weighing up to 132 pounds, provide at least 9 oz. of water every 20 minutes. Some beverages — like spring/summer 2012

power drinks and soda, which tend to have caffeine and sugar, are diuretics that deplete the body fluids, so are best avoided, says Dr. Schneider.

Besides water, he also suggests feeding kids lowsugar frozen treats, as well as fruits with high water content, such as cherries, grapes, strawberries and watermelon. In addition, he recommends parents spray kids often with a water bottle to keep their body temperatures from elevating while outside during periods of high heat and sun.

Water is the best source to keep kids hydrated in the summer.

The right time to play Try to avoid outdoor activity from 10 a.m. to 4 p.m., when the sun and heat index is the most intense, says Dr. Schneider. And if children are playing in the pool or running through sprinklers, don’t be deceived that they are staying hydrated. Activities like swimming and other water sports mean kids are burning energy, so they still need to drink fluids to replenish themselves.

Keeping children hydrated and scheduling their activities around the sun’s intensity is only part of a successful summer survival plan. It’s just as important for kids to wear sunscreen, sunglasses, hats with brims and protective clothing made from cotton, which breathes and feels cooler against the skin compared to other fabrics, such as polyester. For more information, please visit www.BannerHealth. com/SummerSafety.

Sun-kissed debate: Teens & tanning

By Sally J. Clasen

If your home is occupied by a teen, you know that any subject is, well, subject to an argument. The list up for debate is endless: clothes, curfews, hairstyles and what constitutes healthy nutrition. One topic that shouldn’t be a negotiation, however, is sun worship and the desire to have a “healthy” glow.

Teens are obsessed with having a tan but the reality is there’s no such thing as a “healthy” tan. If you’ve had one tan you’ve sustained skin cell damage and increased your risk for skin cancer. One blistering sunburn in childhood more than doubles a person’s chances of developing the deadliest form of skin cancer — melanoma, the second most common form of cancer for young people age 15-29.

Part of the problem is that teens — with encouragement from the indoor tanning industry — have convinced parents that tanning beds are far safer than basking in direct sunlight. Yet, a 2002 study in the Journal of the National Cancer Institute found that using indoor tanning devices increased the risk of skin cancers 2.5 times for squamous cell carcinoma and 1.5 times for basal cell carcinoma — compared with nonusers. In addition, indoor ultraviolet tanners are 74 percent more likely to develop melanoma than those who have never tanned indoors. The reason is that such devices emit wavelengths of harmful ultraviolet light similar to actual sunlight.

If your teen insists on a sun-kissed image, suggest he or she use safer sunless methods, such as spray-on tans, creams, lotions and gels, which don’t expose them to harmful UV rays.

All self-tanners approved by the Food and Drug Administration use the same color-producing chemical, a substance called dihydroxyacetone (DHA) that reacts with proteins in the outermost layer of your skin to create a temporary brownish pigment called melanoidin. No research suggests the self-tanning lotions cause any long-term harm but remember that most don’t contain sunscreen.

Of course, the best sun-tanning defense is to convince your teen to accept the skin they are in. For more information, visit www.BannerHealth.com/ BannerKidsTanning.

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feature

Poolside?

Be cool, be safe For water safety, check the layers

m

By Sally J. Clasen

any adults think they have water safety in check when it comes to their kids but the sobering statistics for child drowning reveal an overlooked reality. Unintentional drowning is the No. 1 killer of children age 1-5 and the No. 2 killer for all children in Arizona. “In Maricopa County, we lose 16 kids per year — the highest number statewide,” says Tracey Fejt, R.N., Cardon Children’s injury prevention coordinator.

The primary reasons for child drowning are a lack of supervision and barriers, according to Fejt. Living in Arizona also presents a unique set of challenges that increase the risk for child drowning. Almost every backyard has a pool. In addition, many people who relocate here are not familiar with having a pool or being concerned about recreational water safety.

The abundance of canals, especially in Phoenix, creates another element of danger, adds Fejt. “The water in canals is deep and it moves quickly. Also, if a child falls into a canal, the sides are too steep for them to get out,” she says.

Sadly, many parents and guardians think that a drowning could never happen to their family. “Child drowning can and does happen to everyone from every background and education level,“ explains Fejt. And besides pools, canals and lakes, drowning occurs in bathtubs, buckets, ice coolers and toilets. It takes layers of protection to prevent child drowning. For more information, visit www.BannerHealth.com/BannerKidsWaterSafety.

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Recommended steps to avoid

tragedy:

1.

2.

Use eye-to-eye supervision.

3.

Designate 1 parent/ adult who is not drinking or eating to actively supervise pool time.

Create barriers with fences, locking gates (min. 5 foot) and close off doggy doors.

4.

5.

Learn CPR and enroll children in swimming lessons as early as 9 months old.

Use Coast Guardapproved lifejackets; avoid floaties, which are not life-saving equipment. They are toys that create a false sense of security.

6.

Put alarms on pools, doors and windows.

Visit the Drowning Prevention Coalition of Arizona online for information about the Water SMART Babies program and to find locations for swimming lessons, CPR classes and safety equipment training: www.preventdrownings.org/go

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spring/summer 2012

fit kid i

Challenge

n a culture where super-sized fast food meals, convenience store nutrition and reduced physical education time are the norm, kids need positive reinforcement from parents, physicians, schools and others in their community for active lifestyles and eating right. To help families stay healthy, Cardon Children’s Medical Center is offering a free program called The Fit Kid Challenge to guide families to make healthy changes in nutrition and exercise.

Fun challenges, prizes and events are just part of the learning, and everyone in the family is encouraged to participate. One lucky family will win a SeaWorld San Diego Getaway just for registering. Other prizes include tickets for sports games, and passes to activities like rock climbing and ice skating.

The program is intended for school-aged kids between 5-13 of all shapes, sizes, and activity levels.

Nearly all kids could benefit from trying new foods, exploring physical fitness and overall healthy habits coaching.

Information on challenges and events will arrive via e-mail, Facebook or text messaging after registration.

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To register: E-mail: Visit www.bannerhealth.com/cardonchildrensfitkid.

Submit your e-mail address to receive Challenge updates via monthly e-mails.

Facebook: Visit www.facebook.com/cardonchildrens and “Like” the page to receive Challenge updates on Facebook.

Text: Send a message that reads FitKids to 411987 on your mobile phone to receive Challenge updates via text.

pool games that make a splash

Make a big splash this summer with pool activities for the entire family

1

London Bridge: Two players hold hands high, while the other players walk under the bridge.

After each player walks under the bridge, the bridge is lowered.

Eventually players will have to swim under the bridge.

Raise the bridge to accommodate younger players.

totalkid.azcentral.com

2

Scavenger Hunt: Divide players into two teams.

Scatter items at the bottom of the pool — spoons, coins and other things that don’t float (two items each). Set a time limit. The team that retrieves the most treasures wins.

3

Name that Tune: Divide into pairs or small groups, stand close to each other and then duck under the water. While submerged, one person starts humming a favorite tune as the others try to guess the tune.

4

Shark Bait: Line up against the side. One player is “shark” while the others are fish. The shark shouts ‘shark’ and all the fish swim away. The shark then shouts ‘fish’ and goes hunting. When a fish is captured, he becomes the shark and goes in search of food.

5

Dolphin Race or Relay: Players push a beach (or ping pong) ball from one end of pool to the other with their noses while swimming. If hands touch the ball, player must return to starting position. The first person or team to finish wins.

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feature

Fear factor …

be gone!

Easing anxiety, prepping kids for health procedures STORY BY Sally J. Clasen PHOTOS BY Rick D’Elia

When children need to undergo a health procedure, it can be a daunting experience for both kids and parents. Whether it’s blood work, a diagnostic test or an upcoming surgery, it’s possible to lessen the anxiety of a medical exam by using some simple tactics.

t

he first step is to communicate with your child about what is going to happen during the health procedure — before, during and after, says Anne Bordal, a certified Child Life Specialist at Banner Thunderbird Children’s Center. “It’s important to treat children with respect and talk to them as people,” she says. “If you don’t know what’s going to happen, find out.”

The conversation should be ageappropriate, informative and, above all,

ABOVE: Aniken Marsala, 6, left, and his brother Atreus, 3, check out the pre-op area at Cardon Children’s Medical Center during a class to familiarize children with the process and what they can expect while in the hospital for a surgical procedure.

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spring/summer 2012

be done with honesty. “Don’t tell children a procedure or surgery isn’t going to hurt if it will. Children’s fear and anxiety skyrocket without trust,” says Bordal.

Kids also model behaviors, so if you are anxious about the health appointment, they will be too, she adds. “Tell them it’s OK to be afraid and nervous, to validate their feelings about the upcoming procedure.”

Cardon Children’s pediatric surgeon Jonathan Greenfeld, M.D., agrees that an up-front approach is best when prepping kids for any health procedure.

He describes to all young patients the sequence of events that will occur during a surgery. “We all are vulnerable so I treat kids as if they are adults in this case. I walk them through each stage, using words that are within reason, and tell them they may experience pain when they wake up, but that if they do

we’ll take care of the pain and so forth.”

Bordal recommends that parents encourage kids to bring comfort items from home for the health procedure — pacifier, blanket, book, a video game — anything that will help them remain calm.

Another effective strategy is to give kids some degree of choice in the situation, which gives them a sense of control and increases treatment compliance, according to Bordal. “For example, if blood is being drawn, tell your child he or she can choose a bandage color or decide where the family will eat after the appointment,” she says. “It’s not about discussing whether the procedure will happen but giving kids a chance to participate in their care.”

Tell them it’s OK to be afraid and nervous

check us

out!

Banner offers preoperative surgical tours to help ease the fears of kids and parents about upcoming procedures.

Contact the Child Life specialists at Banner Thunderbird Children’s Center, 602-865-5512, or Cardon Children’s Medical Center, 480-412-7778, to schedule a visit.

Charlie Richie tries out a stethoscope during a pre-op class with Erin Sinnema, Child Life Specialist at Cardon Children’s Medical Center.

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Family Fun

Resources and opportunities Kids can cope Banner Thunderbird Children’s Center offers a support group for children ages 6 through 16 who have a parent or loved one diagnosed with cancer.

The program provides a friendly, supportive environment where children and teens can ask questions, gain information about cancer and treatment, learn to identify their own emotional reactions to the changes in their family and develop new ways of managing those emotions.

Games, activities and peer support build resiliency for challenges presented by the cancer experience.

The group meets twice a month under the guidance of an oncology social worker. For more information, call 602-865-5450.

Support groups: Asthma Support Group: Join other families living with asthma to share resources and network at fun events for kids and families.

Call 480-412-7902 to join.

Breastfeeding Support Group: This group meets weekly.

Call 480-412-3035 to join.

Diabetes Support Group: Meet other families who live with diabetes.

Call 480-412-4557 to join.

Arizona Eosinophilic Support Group: Dedicated to providing support to adults and parents/grandparents of children affected by Eosinophilic Gastrointestinal Disorders.

When: Last Thursday of every other

month at 6:30 p.m.

Where: The Rosati Education Center, Ironwood Room MORE INFORMATION:

Visit azeos.org CONTACT: Email az.eos@hotmail.com

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Camp Soaring Eagle The mission of Camp Soaring Eagle is to give kids with serious illnesses and their families a chance to discover the healing power of laughter and the sheer joy of play that sickness has too long denied them by providing camping experiences filled with excitement, challenge and fun in a medically safe setting.

The camp is free.

For more information, visit campsoaringeagle.org Infant/Child CPR and First Aid Class This class is recommended for parents, grandparents, and caregivers. You will learn: • CPR (Cardio Pulmonary Resuscitation) techniques for both infants and children • What to do if a child is choking • Basic First Aid. You will learn through instruction and hands-on practice with infant and child mannequins. This class is taught by an RN who is a certified CPR instructor.

Note: A CPR course completion card is not issued for this class.

Cost: $20 per person Register at 602-230-CARE or online at bannerhealth.com/230CARE

Pregnancy, Parenting and Play Pregnancy, Parenting and Play is a free home-based family support program for families living in Gilbert, Mesa, and Queen Creek. This program is funded by First Things First.

Call 480-412-3410 to enroll.

Babysitter class This class will give you the skills and confidence you need to be a wonderful babysitter. This four-hour class will provide basic information about: • Infant and child care • Safety • What to do in case of an emergency • CPR for infants and children • First Aid • Activity planning • Behavior.

For ages 11 and older. This class is taught by an RN who is a CPR certified instructor.

Cost: $35 per person Register at 602-230-CARE or online at bannerhealth.com/230CARE

spring/summer 2012

For Parents

“What we wish parents knew…”

Helpful comments from Banner doctors

“If you have to give over-thecounter pain medications to your child for headaches more than 3-4 times per week for more than a month, it’s time to see your pediatrician or get a referral to a neurologist.

– Tamara Zach, MD, pediatric neurologist

“A milk allergy is not the same thing as lactose intolerance.”

– Swati Kolpuru, MD, pediatric gastroenterologist

“Cough and cold medicines don’t work for children under age 6. The Food and Drug Administration’s panel of health experts have studied the safety and effectiveness of antihistamines, decongestants, antitussins (cough suppressants) and expectorants in children and determined that not only don’t they make a cold go away sooner, but the side effects can sometimes be serious.”

– Steve Narang, MD, chief medical officer, Cardon Children’s Medical Center

“How special they are in their parents’ eyes and how crucial it is to tell their children how much they love them through not only their words but their daily interactions.”

– Norm Saba, MD, pediatric chief of staff, Cardon Children’s Medical Center

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info to keep handy More health info for kids and parents:

www.bannerhealth.com/ bannerkids Banner Poison Control: www.bannerhealth.com/poisoncenter 800-222-1222 Facebook: www.facebook.com/cardonchildrens www.facebook.com/bannerthunderbird Sign up for our e-newsletter: www.bannerhealth.com/econnect Cardon Children’s Fit Kid (info on fitness and nutrition): www.bannerhealth.com/ cardonchildrensfitkid

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Kid’s Activity Page

Pipe cleaner creatures If you’re looking for a fun, no-mess way to occupy the kids on a long road trip, have them indulge their creative instincts by making pipe-cleaner creatures.

Here’s what you need: • An inexpensive pack of pipe cleaners (different colors) • Nail clippers or child scissors • Lots of imagination

Use pipe cleaners of different colors to create all kinds of creatures that you can later use for imaginative play.

Some tips: • Cut the pipe cleaners into different lengths using a nail clipper • Twist them around a pencil to create a coil • Connect them end to end by twisting the ends together • Get creative by twisting colors together Source: Momsminivan.com

Fabulous French Toast Ingredients: 1 egg 1/4 C. low-fat milk Dash of vanilla extract 1 tbsp. margarine 2 pieces of bread

Utensils: Medium-size bowl Mixing spoon Frying pan Stove (you’ll need help from an adult) Spatula Serving plate Measuring cups and spoons

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Directions:

1. Crack the egg into a medium-size bowl and beat well.

Then mix in the milk and vanilla extract.

2. Put the margarine in a frying pan. Heat the pan on the stovetop on medium heat. It’s hot enough when the margarine starts to bubble.

3. Dunk each piece of bread in the egg mixture. Make sure the bread is totally covered.

4. Cook the bread in the frying pan on low heat until the underside is light brown (about five minutes).

5. Use a spatula to flip the bread over and cook again for another five minutes.

6. Use the spatula to transfer the French toast to a plate.

Suggestions: Eat your French toast with powdered sugar, cinnamon, maple syrup, jelly or fruit. Serve with a glass of milk or juice!

Source: Banner Health

Summer

vacation essentials

Packing up the family truckster for a summer vacation? Make sure you grab some kid-friendly travel essentials that are more activity-oriented than video games.

In a small bag, pack up: • Some coloring and activity books • Small notebook for kids to write down each place you stop for gas or to eat • Books on CD or mp3 player • New crayons and/or washable markers • Sticker books • Glow-in-the-dark bracelets (for nighttime travel) • A variety of small “rewards” for good behavior!

• Healthy, easy-to-eat snacks, such as grapes, bananas, orange slices • Some education flash cards • Fun treats, such as fruit gummies

spring/summer 2012

WARNING

THINGS DO UNEXPECTED SOMETIMES KIDS

EXPECT AN ER WITH

PEDIATRIC SPECIALISTS

WHO REALLY KNOW KIDS. Kids are full of surprises. Most often their antics make us smile. But other times childÂ’s play can lead to serious injury. When the unexpected happens, turn to pediatric experts that really understand kids.

Cardon ChildrenÂ’s Medical CenterÂ’s new expanded Emergency Room is staffed with pediatric emergency specialists prepared to treat everything from a broken bone to serious medical conditions. We offer comprehensive care for children including more than 30 pediatric specialties. And, should they need to be admitted, be assured that Cardon ChildrenÂ’s offers private rooms for the comfort of kids and their families.

Helping kids get back to their regularly scheduled

On US 60 just east of the 101.

BannerHealth.com/CardonChildrens Find a pediatric specialist: 602-230 - CARE (2273).

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PRESORT STD U.S. POSTAGE PAID LONG BEACH, CA PERMIT NO.1677

PRESORT STD U.S. POSTAGE PAID LONG BEACH, CA PERMIT NO.1677