Natural Pediatrics


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Natural Pediatrics

  1. 1. Natural Pediatrics Practical Solutions to Keeping Your Kids Healthy
  2. 2. Goals for Tonight's Seminar 1. Monitoring developmental benchmarks (Is my child normal?) 2. Age appropriate nutrition (What do I feed my child?) 3. Exercise (What types of exercise should my child be doing?) 4. Environmental pollutants (What chemicals are dangerous and which are safe?) 5. Vaccinations (What vaccinations should I give, if any?) Please wait until the end to ask questions
  3. 3. Normal Milestones As new parents, we worry about our kids "making their milestones" Most parents worry about height, weight and head circumference "What percentile does my child fit into?" Concern when growth curve flattens or decreases over time
  4. 4. Developmental Milestones Difference between growth and development Growth is height/weight while development includes: Gross motor: using large groups of muscles to sit, stand, walk, run, etc., keeping balance, and changing positions Fine motor: using hands to eat, draw, dress, play, write, etc. Language: speaking, using body language and gestures, communicating, and understanding what others say Cognitive: thinking skills: including learning, understanding, problem-solving, reasoning, and remembering Social: interacting with others; having relationships with family, friends, and teachers; cooperating; and responding to the feelings of others
  5. 5. Infant (first 9 months) First three years of life most important for development Basic guidelines, but every child very different Signs to watch out for: Does not turn his head to locate sounds by four months Doesn’t roll over in either direction (front to back or back to front) by five months Seems inconsolable at night after five months Doesn’ smile spontaneously by five months Cannot sit with help by six months Does not laugh or make squealing sounds by six months Does not actively reach for objects by six to seven months Doesn’t follow objects with both eyes at near (1 foot) and far (6 feet) ranges by seven months Does not bear some weight on legs by seven months Does not try to attract attention through actions by seven months Does not babble by eight months
  6. 6. Infant (9-12 Months) A very exciting time! Potential first steps, responds to verbal requests, greater interaction Trouble areas to watch out for: Does not crawl Cannot stand when supported Does not search for objects that are hidden while he watches Says no single words (“mama” or “dada”) Does not learn to use gestures, such as waving or shaking head Does not point to objects or pictures
  7. 7. Toddler (By Age 2) Before the age of 2, most kids are using 3-4 word sentences, kicking a ball and defiant behavior Signs to be mindful of: Cannot walk by eighteen months Fails to develop a mature heel-toe walking pattern after several months of walking, or walks exclusively on his toes Does not speak at least fifteen words by eighteen months Does not use two-word sentences by age two Does not seem to know the function of common household objects (brush, telephone, bell, fork, spoon) by fifteen months Does not imitate actions or words by the end of this period Does not follow simple instructions by age two Cannot push a wheeled toy by age two
  8. 8. Years 3-4 Aside from the terrific 3s, kids learn to go upstairs, draw circles and speak with a greater vocabulary Still, warning signs include: Cannot throw a ball overhand Cannot jump in place Cannot ride a tricycle Cannot grasp a crayon between thumb and fingers Cannot stack four blocks Still clings or cries whenever his parents leave him Ignores other children Doesn’t respond to people outside the family Resists dressing, sleeping, using the toilet Lashes out without any self-control when angry or upset Cannot copy a circle Doesn’t use sentences of more than three words Doesn’t use “me” and “you” appropriately
  9. 9. Ages 4-5 Another fun age period where children tell longer stories, can dress themselves, and sing, dance and act. Watch a child who: Exhibits extremely fearful, timid, aggressive behavior Shows little interest in playing with other children Refuses to respond to people in general, or responds only superficially Doesn’t engage in a variety of activities Avoids or seems aloof with other children and adults Has trouble eating, sleeping, or using the toilet Cannot understand two-part commands using prepositions (“Put the cup on the table”; “Get the ball under the couch.”) Can’t correctly give her first and last names Cannot build a tower of six to eight blocks Seems uncomfortable holding a crayon Cannot brush her teeth efficiently Cannot wash and dry her hands
  10. 10. Ages 6-12 (School-Aged Kids) Physical development is slow but steady. This span of life is where parent's influence can be more important than ever Can truly shape emotional, social and mental development Most research suggest the following: Give lots of positive attention Let them help define rules Discuss making good decisions, being patient, share and respect others Limit nagging and maximize respect will give child confidence in ability to make decisions Ask, "How would you do that differently next time?" Ask, "Can I help you think of ways to talk with so-and-so to solve that problem?" Careful not to stereotype kids into particular activities
  11. 11. Adolescent Development and Growth Rapid gains in weight and height In one year, can expect 3.5-4 inches of height growth Most adults see growth as a sign of cognitive development Creates false expectations Neurologically, studies suggest that nerves still connecting Could explain why come teens seem to be inconsistent in controlling emotions, impulses and judgements Teens need more sleep for these to occur What to do? Don't criticize and be supportive Allow for extra sleep (even on the weekends) Discuss behavioral rules and consequences Set up "job shadowing" within various fields Rituals to mark significant passages
  12. 12. Proper Nutrition for Children We recognize that a diet balanced in vegetables, fruit, whole grains, proteins, and fats is critical to the proper growth and development for kids Trick is getting kids to eat these healthy foods But first, let's talk about what kids need nutritionally
  13. 13. Calories and Protein Caloric requirements can vary widely based on activity levels, but basic guidelines include: 1-3 year-old: 1300 calories a day 4-6 year-old: 1800 calories a day 7-10 year-old: 2000 calories a day 10-18 year-old: 2200 calories a day Proteins are vital for healthy tissue and brain growth: 1-3 year-old: 16 grams a day 4-6 year-old: 24 grams a day 7-10 year-old: 28 grams a day 10-18 year-old: 35-40 grams a day
  14. 14. Critical Vitamins for Children Iron Most common deficiency in children Deficiency causes trouble in school (ADHD) Also irritability, listlessness, increased susceptibility to infection Foods higher in iron: cauliflower, berries, cherries, banana, green peas, meats, seeds MUST be careful with iron supplements and children Iron poisoning leading cause of death in kids < 6 Symptoms include: abdominal pain, diarrhea, vomiting, dark-colored stool
  15. 15. Calcium Calcium Necessary for bone growth and prevention of "growing pains" Intake the most important between ages 9-18 Misconception that milk is only and best source of calcium Broccoli, tofu, chickpeas, lentils, split peas, leafy green veggies, dairy Watch out for soda intake! Contains higher levels of phosphorus Phosphorus prevents proper absorption of calcium
  16. 16. Vitamin D Vitamin D "Sunshine vitamin" Originally worried about rickets (soft bones) Respiratory infections and chronic disease (diabetes, heart disease, high blood pressure, low HDL) Fish have highest amounts, vitamin D-fortified milk I do not recommend cow's milk for children Supplements now being recommended American Academy of Pediatrics I recommend higher intake during cold/flu season Recent study (Mar 10) showed 42% decrease in colds
  17. 17. Supplements for Children? Food should be major source of nutrition, vitamins, minerals and cofactors Most foods, unfortunately, are deficient Basic supplement regimen for children includes: 1. Multiple vitamin: good chewable versions now 2. Fish oil (omega-3 fatty acids): DHA and EPA are both critical for proper growth and mental development Other kids may need other supplements based on their age or any symptoms that may be going on Probiotics (great for allergies) Digestive enzymes (great for gassy kids)
  18. 18. Tips For Healthy Eating Act as a good example! Have healthy choices at home Family meals together Tasty preparation of "not-so-tasty" foods The Sneaky Chef and Deceptively Delicious Cookbooks Ok idea for very young children who developmentally cannot understand healthy choices Not-so-good for children who can be active in decision- making process Example of mac and cheese butternut squash Do not use food as a reward or punishment Take children along to grocery to pick out veggies and fruits
  19. 19. Exercise in Kids Many reasons to have children exercise Lack of exercise can lead to obesity, heart disease, diabetes, high cholesterol and ADHD Studies show that lack of exercise is more of a factor in gaining weight than overeating How much exercise is enough? Simple survey to determine if your child is currently getting enough exercise: 1. How often does your child participate in physical activity for a total of 30-60 minutes? 2. How much time does your child spend watching TV, playing video games and surfing the Internet each day?
  20. 20. Exercise vs. Play for Kids For majority of kids, time spent playing outside is enough As they get older and/or become involved with sports, sometimes adding weight bearing exercises is good Weightlifting not healthy for children Can damage bone and growth plates and stunt growth Plates don't completely close until age 17-20 Some low-impact, safe exercises include: Bicycling Yoga Dancing Jumping rope Walks Frisbee
  21. 21. Chemical Exposure (Unsafe) Unfortunately world full of many chemicals Plastics, paints, glues, garden chemicals, household cleaners, vehicle emissions, etc. Per unit of body weight, children eat more food and breathe more air Therefore greater exposure than most adults
  22. 22. Bisphenol A (BPA) Found in 93% of general population Originally thought to not be dangerous January 2010, "some concern" for infants and children Can cause developmental delay, reproductive issues and promote asthma in susceptible kids Found in baby bottles, beverage bottles, food containers, electronics, compact discs, contact lenses and cash register receipts Use stainless steel or glass containers Look for "BPA-Free" bottles or glass bottles Also be careful not to heat plastics BPA will leach out of plastics and into what ever is being heated
  23. 23. PFOA and PFOS Can cause developmental delays in children Found in teflon (non-stick cookware) Stain-proof carpet No-iron or "wrinkle-free" fabrics Flame retardants Microwave popcorn bags Read labels! Will list PFOAs and PFOSs EPA requiring their removals from clothing by 2015 Fresh drinking water and organic veggies Improves liver function
  24. 24. Phthalates Found in perfumes, cosmetics, very soft plastics, plastic wrap, teething rings, pacifiers and children's toys Can lead to kidney damage, liver disorders and asthma Big issue with children's toys Specifically watch out for Diisononyl phthalate When children put toys in mouths, chemical is easily transmitted Look at labels on toys and buy those that are phthalate-free or contain vinyl acetate (EVA)
  25. 25. Vaccination Basics and Answers Very contentious subject Studies from both sides are confusing and create more questions than answers Possible to prove vaccines prevent infection? Many vaccines and more added each year Facts include: Highest amount of antibiotics and vaccines than ever before Highest obesity, increased incidence of childhood disease (e.g., asthma, autism) and lowest test scores in schools than ever before Current recommendations have kids receiving 68 vaccines by age 18
  26. 26. To Vaccinate or Not? Childhood illnesses evolved to stimulate child’s immune system to help it organize itself correctly and protect it against developing allergies, asthma, infections, and even chronic degenerative disease Few recent, well-designed studies, have shown a reduction in allergies and other diseases following infection with chicken pox and mumps But, by law, don't I HAVE to vaccinate?
  27. 27. Vaccines Have Saved Our World? History has shown that infection rates with all "childhood" diseases were on the decline well before vaccinations were introduced In addition, since mass vaccination introduction, autoimmune diseases, ADHD, autism, etc. have dramatically risen
  28. 28. Deaths from Measles
  29. 29. Double Standard? Thalidomide? Given to thousands of pregnant women as a sedative and antiemetic during the 1940s and 1950s Thought to be safe and did not cross the placental barrier to the developing baby Not every woman who took thalidomide had children who developed birth defects, but there were 100,000s of birth defects that occurred The drug was removed from the market because of "potential" to cause harm Not the case with vaccines Shouldn't there be a central location to report adverse reactions to vaccines to prevent same problem?
  30. 30. Vaccine Adverse Event Reporting System (VAERS) Federal reporting system for problems following vaccination administration Between mid-1999 and Jan. 4, 2004 (for all vaccines and all reactions) 128,035 adverse reactions were reported Estimated that only 10% of all reactions are actually reported May actually represent between 1.28 million (10%) and 12.8 million (1%) of all vaccine-associated adverse reactions In that same period, there were 2,093 deaths reported This may actually represent between 20,930 (10%) and 209,300 (1%) of the deaths thought to be associated with vaccines.
  31. 31. Vaccination = Immunization Misconception in public that vaccination provides absolute protection for children from diseases Multiple studies and events demonstrate this is not so Most recent includes an outbreak of mumps in 2006 in midwest states Nearly 7000 were infected Almost 98% were vaccinated!
  32. 32. Other Ingredients? No study has been done to examine what is in vaccines and then recommended a continuation of vaccination Some vaccines have up to 39 "other" ingredients as preservatives, fillers and "stabilizing agents" Formaldehyde Polysorbate 80 Aluminum hydroxide Many, many others Interesting side note: natural elimination pathways in infants for aluminum is through kidneys Kidney function does not reach full capacity until age 2
  33. 33. Rotavirus Recent Events On Monday (March 22), countries around the world have suspended the use of rotavirus vaccine because of a contaminant found in "processing" Rotavirus causes severe diarrhea in infants leading to dehydration and possibly death CDC recommends administration at months 2, 4 and 6 Contaminant poses "no threat" according to company that produces vaccine and will continue to manufacture despite contaminant
  34. 34. Further Information About Vaccines Vaccines Safety Manual, Neil Miller The Sanctity of Human Blood, Tim O’Shea D.C. Health and Nutrition Secrets, Russell Blaylock M.D. How To Raise a Healthy Child In Spite of Your Doctor, Robert Mendelsohn M.D. The Vaccine Book, Robert Sears M.D. Vaccinations: The Assault on the Immune System, Veira Schreiber Ph.D. What Your Doctor May Not Tell You About Vaccines, Stephanie Cave M.D. Vaccines:The Risks, Benefits, Choices, Sherri Tenpenny D. O. A Shot in the Dark, Harris Coulter and Barbara Fisher
  35. 35. Pearls of Wisdom for Parents (Battlefield Manual) Hints: Nail polish remover will dissolve Styrofoam trapped in the ear canal. To remove cacti thorns from the skin, place duct tape over the area and pull it off. Repeat several times. For frequent swimmer's ear: Take a half and half mixture of white vinegar and rubbing alcohol in a dropper container. After swimming or bathing, place 2 or 3 drops of the solution in the ear canal. The vinegar is acetic acid which changes the pH of the ear canal and kills pathogens. The rubbing alcohol is a drying solution to help clear the ear canal of moisture. For children with viral conjunctivitis, use baby shampoo or Dr. Bronner's, 1/8-1/2 teaspoon in a cup of water, as drops for treatment instead of antibiotic eye drops.
  36. 36. Other Helpful Hints For diaper rash, one of the cheapest and easiest treatments is regular white Crisco. This gives an extremely good water resistant barrier over the skin and does not irritate the skin. It can be applied after each diaper change and cleaning. Oatmeal baths are helpful in softening skin and reducing itching. A cup of oatmeal mixed into the bath water helps soothe the skin. Dried oatmeal in plumbing can act like concrete. A way to avoid the oatmeal going down the drain is to place it in a cloth bag and placing that in the tub. Adding baking soda to bath water can decrease itching. Make the water milky. Put scotch tape over a lesion you want to follow, trace the lesion then store for later comparison. Have a child blow up a balloon or hold the nose of a baby while she swallows to "pop" the ears.
  37. 37. Conclusions Our children are our greatest gifts in life Their nutrition, exercise, and limited chemical exposure are your responsibility Like your children, be inquisitive about their health Don't be afraid to ask your doctor questions Thank you for your attention! Are there any questions?