TOTAL HELPING ARIZONA PARENTS RAISE HEALTHY KIDS AND TEENS
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GOING TO THE DOGS!
Pet-therapy canines brighten lives
Diagnosing and treating respiratory Illness Winter 2014
SPRING CLEANING TIPS for child-proofing your home
24/7 pediatric ER care. Kid-safe X-rays. Ouch-less shots. Everything we do is focused on making things better for kids. Our entire team is trained specifically to help kids in emergency situations. From ouchless shots and kid-safe X-rays, to the latest methods in calming a child’s fears. And if there’s care needed beyond the emergency room, we have more than 30 pediatric specialties available to you 24-hours-a-day, seven-days-a-week. We make it so comfortable your child may even forget what hurts. BannerChildrens.com •
DAD'S BEST FRIEND
s there a more loved feeling than being licked in the face by a 100-pound canine? Growing up in northeast Missouri, I had the quintessential ‘boy and his dog’ relationship with a massive German shepherd I named PC (i.e., privileged character). He was a huge part of our family, but there was no question: PC was my dog. He slept on the floor in my bedroom every night; woke Jim me every morning. He Williams followed me everywhere; and plunged into deep doggy Editor depression each year when and father I attended Boy Scout camp. of three The summer before I left for college, PC became sick… very sick. It was as if he knew our time had passed. I took him myself to our local veterinarian. Friends accompanied me; everyone knew about my relationship with this big dark-haired shepherd. There, in the vet’s office, PC licked my hand one last time…still trying to provide comfort…and I ‘let him go.’ For me, it was a life lesson. I know the joy and unconditional love pets can bring to a family. A year ago, we bought a puppy for our kids, a feisty dachshundpug mix named Winnie. She has taken on the role of ‘queen and protector of the manor.’ My kids love her, and one day, they’ll share their own Winnie stories. And then there’s Ginger. Our Total Kid cover pooch makes house calls. She is one of several therapy dogs that not only brighten the lives of patients at Banner Children’s hospitals, but also provide a form of healing that traditional treatments can’t match. For the full story, go to page 8. Did you know that asthma is most common illness among children? Asthma and other childhood respiratory illnesses are a serious concern. On page 6, find out how Banner Children’s experts are helping kids, and parents, breathe easier. Check out these stories and many more in this issue of Total Kid. Be sure to download the Total Kid iPad app …it’s free! For details, go to totalkid.azcentral.com. • TK
Publication of Republic Media Custom Publishing. Cover Photo: Therapy dog Ginger visits with Allison Weist, 15, of Avondale as she recovers from an appendectomy in the child life section of Banner Thunderbird hospital. Photo by Rick D'Elia
Contents Volume: 5 Issue: 1 – Winter 2014
Cocoon of protection
Going to the dogs
“What we wish parents knew”
Add Tdap vaccine to preparations for moms-, and dads-to-be
What temperature warrants a trip to the emergency room
Diagnosing and treating respiratory illnesses in children
Pet therapy canines provide healing of a different sort
Banner doctors provide helpful tips
Racing against diabetes
Spring cleaning child-proof guide
Kids activity page
Having diabetes didn’t change IndyCar driver Charlie Kimball’s dreams
Banner Children’s experts offer advice for child-proofing your home
Some fun suggestions for winter activities. Plus, a kid-friendly recipe
CREATED BY REPUBLIC MEDIA CUSTOM PUBLISHING FOR BANNER THUNDERBIRD MEDICAL CENTER AND CARDON CHILDREN'S MEDICAL CENTER VOLUME 5 NUMBER 1 WINTER 2014 General Manager: Cami Kaiserfirstname.lastname@example.org Creative Development Director: Isaac Moyaemail@example.com Editor: Jim Williams/JLWilliams@republicmedia.com Senior Managing Art Director: Tracey Phalenfirstname.lastname@example.org Art Director: Miles Abernethy Editorial Coordinator: Nick Kostenko Contributors: Rick D'Elia, Gremlyn Bradley-Waddell, Tracy Harvil, Nicole Rolfes, Sebastian Sroka Total Kid magazine is published as a service to our friends and neighbors by Republic Media Custom Publishing for Banner Thunderbird Medical 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
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/BannerChildrens
TOYS save the day
In many cases, patients young and old are advised to begin moving shortly after surgery, as doing so helps internal organs resume their normal function and aids in faster healing. Just try telling that to a groggy 9-year-old who’s not, shall we say, feeling motivated. That’s when one of Banner Children’s toy closets — located at Banner Estrella, Banner Thunderbird and Cardon Children’s medical centers — may just save the day. Wendy Pauker, child life manager at Banner Thunderbird, said many young hospitalized patients at these sites are given the opportunity to choose a toy from the closet — if they get up and walk down the hallway to it, of course. Nine times out of 10, the fun incentive program does the trick, she said. Each patient’s case is different; not all patients visit the closet — some may be satisfied with stickers and a sticker chart — and others may need to first complete a set of tasks. No matter the circumstances, Pauker said keeping kids motivated, and on the mend, is always the main goal.
Want to help support the toy closet program?
It’s easy! Just call 602-747-4483. When it comes to toys, every child wants something different. We stock the closets with age-appropriate toys and books that have the widest appeal. Want some ideas? Below are some items that would make great donations for our pediatric patients. Just keep in mind that all toys must be new in order to decrease the risk of infection in our facilities. • Infants: Teething toys, musical toys, rattles, mobiles, infant clothing • Toddlers: Pop-up books, light-up toys, blocks, learning toys, play kitchen items • School-age: Matchbox cars, board games, arts and crafts activities, Lego building block sets • Teens: Video games, journals, gift cards, model car kits, jewelry, movie, hand-held games • TK
Cocoon of protection
f you’re pregnant, add the Tdap vaccine to your — and the father’s — list of preparations for baby. Paul Mikel, M.D., a Banner Health Center obstetrician and gynecologist, said Tdap — a vaccine that protects against tetanus (lockjaw), diphtheria and pertussis (whooping cough) — is recommended for women in their seventh month of every pregnancy and adult men who’ve recently fathered a child. This fairly-new government recommendation was issued by the CDC in 2012 after almost every state reported near-epidemic proportions of whooping cough, he said, including California, which reported the deaths of 10 babies from the disease. The increase in cases is attributed to several factors, including the decreased potency of more recent vaccine formulas. While many adults find whooping cough no more bothersome than a mild cold, babies three months and younger are particularly susceptible to the condition, which can lead to hospitalization or even death. When babies sickened during the epidemic-like rise in cases were tracked for the source of their infection, 30 to 40 percent were found to have been infected by their mother and another 10 to 20 percent were found to be infected by their father. So, now the goal is to have everyone who’s around a newborn, especially the main caretakers, be up-to-date on their Paul Mikel, M.D., vaccinations, Mikel said, to Banner Health create a “cocoon” of protection Center Obstetrician for the little one. • TK and Gynecologist Winter 2014
How do I know if my child has ADHD? Is medication the only treatment option?
When making a diagnosis of ADHD, physicians will get confirmation from the parents that their child is not doing well, often because he cannot focus on more than three tasks at a time, such as brushing his teeth, cleaning his room and coming downstairs after completing those activities. A child with ADHD may get ‘lost’ after doing just the first task. But there also has to be multiple reports of this kind of behavior before a diagnosis is made. The behavior is likely seen at home, where a parent notices the child’s homework or bookbag is a mess, and there should also be a school report, which may indicate the child has difficulty focusing and concentrating, has to get up a lot and move around or isn’t paying attention when the teacher is talking.
Sravanthi Pajerla, M.D.
Banneraffiliated child and adolescent psychiatrist
The common thinking used to be, especially with younger kids, that the only way to treat ADHD was with medication. But we’re seeing more evidence now that behavior training — such as teaching kids how to problem solve — is really important, too. Kids with ADHD get upset because they can’t learn the way other kids are learning, so when they begin feeling frustrated by school work, they decide they don’t like school anymore and may get labeled as troublemakers. Parents need to encourage their ADHD kids to keep doing things, like homework or even cleaning a room, even though they’re not perfect at it. These kids need to be taught to organize themselves and learn what works for them, like maybe taking frequent breaks during homework to get up and run around. • TK
My child has a temperature. When does it merit a trip to the doctor?
John Sarmiento, M.D.
Banner Health The answer depends upon the child’s age, Center but here are some general guidelines: pediatrician • A fever is 100.4 degrees and a “high fever” is 102 degrees Fahrenheit or higher. If a kiddo is three months or younger and has a fever, call a doctor immediately; this will usually merit a visit to the ER. • With a child three months or older, physicians are concerned more with how sick the child appears than the temperature. If symptoms are severe or the child is vomiting, dehydrated or lethargic, see a doctor regardless of the child’s temperature. • An infant or young toddler with a fever but no other symptoms should see a doctor if the fever lasts more than a day or two; he might want to evaluate for a urinary tract infection. • A persistent fever of 104 to 105 degrees would merit an office visit no matter the symptoms. Knowing what to do can be confusing because many benign conditions present with a high fever and many severe conditions present with a mild fever. Just don’t forget that fever is the body’s natural response to infection, so there’s no need to fear it! • TK
enyon Antone is a lively 10-year-old who enjoys running, playing baseball and basketball and dreams of becoming a Navy SEAL or a Marine. “I like helping people,” the Mesa fifth-grader said. And so it may come as a surprise to learn that this active, self-described “ordinary kid” has spent an extraordinary number of hours in hospitals as a result of his asthma. Diagnosed with this chronic condition as a baby, Kenyon is one of many youngsters that the pulmonologists at Banner Children’s Specialists treat for respiratory illnesses.
disease’s onset can begin at any age; and the condition can come and go throughout one’s lifetime. While no one really “outgrows” asthma, Carter said, up to a quarter of children with asthma will experience asthma that becomes “inactive” later in life.
‘They’ve helped us so much’
Bernadette Alvarez, Kenyon’s mother, said that her son has probably been hospitalized 10 times for his asthma. Although they’re still not certain about all his “triggers,” which include colds, dust and pollen, they’ve become more attuned to his health. “If he gets a virus or cold, I immediately put him on the breathing machine,” Alvarez said, referring to
BREATHE Diagnosing and treating respiratory illnesses in kids
Ted Carter, M.D., Chief of the Pulmonary Division at Banner Children's Specialists
While several conditions wreak havoc with kids’ airways, two of the top three problems that Edward “Ted” Carter, M.D., a pulmonologist with Banner Children’s Specialists, sees each year are RSV (respiratory syncytial virus) infections, which can be especially problematic for infants, and dysphagia (swallowing problems), another condition that’s troublesome for babies. But asthma is the most common childhood respiratory illness.
Asthma is a ‘highly prevalent’ condition
“One in every 10 to 15 children will have asthma at some time in childhood,” said Carter. “It’s highly prevalent. There are probably two kids in every class that have it, and probably one of them doesn’t know it because the asthma has not yet been diagnosed.” In fact, there is no clear diagnostic test for asthma, and its symptoms aren’t well understood, he said. The stereotypical “wheezing” sound children with asthma are supposed to make does not ring true for every patient. Rather, coughing is the most common symptom, and it can be a “dry, hacking” cough or a “wet, junky” version that can linger for weeks, and is often worse at night. What’s more, a child with asthma can have it without ever having an asthma attack; the
their home nebulizer, a portable machine that turns liquid medication into a mist that Kenyon inhales. They’ve also learned a lot from Kim Byrne, R.N., the asthma educator at Cardon Children’s Medical Center, who has taught them about how to recognize when Kenyon’s asthma is getting worse and taught them about his asthma medications and how to take them correctly. Alvarez said getting a handle on Kenyon’s asthma also allowed her and her husband, Esequiel, to better deal with Kenyon’s epilepsy diagnosis last year.
RSV and Dysphagia
As for RSV, it’s one of several highly contagious viruses that can cause severe respiratory infections including bronchiolitis. "Infants and the elderly are especially susceptible”, Byrne said. While most adults who get RSV can deal with the symptoms, infants often have more severe infections that go deeper into the lungs. RSV peaks from December through April, and while most people who are otherwise healthy don’t need special care, severe ymptoms in a patient of any age require professional medical attention. “We’d rather see a baby early than too late,” Byrne said. While Carter said the public seems well versed on the symptoms and seriousness associated with RSV in infants, another respiratory issue that he’d like to shed some light on is dysphagia, which is difficulty with swallowing. While one type of dysphagia can occur after someone has had a stroke, Winter 2013
Cardon Children’s Medical Center also supports many programs and services throughout metro Phoenix for children with asthma: Cardon Children's Medical Center Asthma Support Group Join other families who live with asthma to share information and meet up for fun activities. Asthma Attackers This free swim program helps children live a healthy, active life despite having asthma by using swimming to provide both asthma education and breathing exercises. Camp Not-A-Wheeze In association with the American Lung Association, Cardon Children’s sends campers to this annual asthma camp every summer. Camp Soaring Eagle Cardon Children’s sends campers to asthma camp at Jackpot Ranch in Camp Verde, Arizona. Free for children age 6-15 years with asthma. • TK To learn more about these programs, visit bannerhealth.com/ CardonChildrensAsthmaEdu TOTALKID
the type Carter is referring to is the kind experienced by infants, usually in the first nine months of life. A baby’s swallowing coordination may not be fully developed at this age, so while a baby is drinking, some milk may drip into the airways and be sucked into the baby’s lungs. “Dysphagia is a common problem in infants that doctors often miss, and parents don’t know about it because it’s not well publicized,” he said. A baby with dysphagia may not have symptoms, or may wheeze, make gurgling sounds, cough and choke when drinking. Luckily, there's often an easy solution: thickening the baby's milk or formula with rice cereal or oatmeal cereal. When a thin liquid such as milk or formula is thickened, it’s easier for the infant to direct down the esophagus and, therefore, doesn’t drip into the trachea as easily. Just be sure consult your doctor first before trying this. Fortunately, most babies usually outgrow swallowing problems by 15 to 18 months. • TK
Going to the dogs
ver go to the part. The four-footed park and see volunteers, who come people interacting in all shapes and with their dogs, maybe sizes and are billed as tossing a ball or just taking Thunderdogs, must first a stroll? Check out the looks on the be pre-screened and pass basic owners’ faces. obedience and socialization tests. After “The people have smiles on their that, further testing is required. Dogs that are faces,” said Michael Weinberg, Ph.D., admitted to the program usually visit the hospital L.P.C., a senior manager in Behavioral Health about once a week for two hours at a time, dispensing Services at Banner Thunderbird Medical Center — their own brand of therapeutic compassion and love. and the owner of two Golden Retrievers himself. “Not only do they brighten the days of our “Dogs put a smile on your face. It’s why patients, but our staff and physicians absolutely love they’re called man’s best friend.” running into the therapy dogs while At Banner Children's at Banner they’re on duty,” Lane said. What Makes a Good Thunderbird Medical Center, that wellWeinberg said, after all, that Therapy Dog? known phrase might even be more like humans — in a hospital bed or not Kathy Lane said there’s no “children’s best friend.” When Ginger, — have basic psychological needs, perfect size, breed, or mix for example, enters a youngster’s including these three: a need for a of breeds for therapy dog hospital room, she really lights up the sense of love and belonging; a need work. For the hospital’s place. With her velvety soft ears and for fun and enjoyment; and a need to program, however, big, heavy paws covered in dark yellow feel safe. The Thunderdogs can meet a pooch must: fur, this 90-pound Labrador retriever all three needs for most patients of be at least a year old “who thinks she’s a teacup poodle” any age, but the animals are especially is a cheerful dose of the best kind of gifted at satisfying that first one. be healthy medicine, said owner Lynn Stanley. “Dogs give unconditional love,” be well mannered “These kids are there, and they he said. “So, when you have a patient and not aggressive don’t want to be there, hooked up to who may feel lonely and might have a Canine candidates should everything,” Stanley said. “Ginger will depressed affect and here comes this also enjoy human contact sit and let the kids lean on her and lay very alive and beautiful animal who and have a calm, gentle on her, and it’s very uplifting for them wants to put his head on the patient’s demeanor. “Some dogs because they’re not being poked and lap and be stroked — and the animals’ seem to be born with an prodded. It’s a happy situation.” facial expression is one of ‘I’m kind and innate ability to sense when Ginger is one of about a dozen caring,’ — the dog helps fulfill that someone needs cheering canines in the hospital’s Therapy Dog first need with this very affectionate up,” Lane said, “and those program, according to Kathy Lane, communication. And there are no are the ones that make the who oversees the hospital’s volunteer contingencies. The patient doesn’t best therapy dogs!” department, of which therapy dogs have to earn the dog’s love. It’s a very and their owners are a very important powerful need, and it’s being fulfilled.”
While a visit from a therapy dog can be viewed as merely a pleasurable highlight to a hospital stay, Banner Thunderbird’s child life manager, Wendy Pauker, said a visit can also contribute to healing. “If a dog is here, we might say, ‘Hey, do you want to get up and see the dog?’ and that might be what it takes to get a child who’s tired or in pain up and moving around,” she said. Likewise, Lane said, hospital staff or a patient’s parents might, for example, use a dog’s presence to encourage a disinterested youngster to eat.
“Dogs give unconditional love... the patient doesn’t have to earn the dog’s love. It’s a very powerful need, and it’s being fulfilled.” “They might say, ‘Take a bite for you and take a bite for the dog,’ ” she said, adding that the dogs are successful in getting kids to do things their parents can’t. Patients who have requested a visit from a pooch are seen first. Then, it’s off to the pediatric floors for many of the dogs — but not all of them. Baylee, a twice-abandoned rescue dog of Newfoundland and mastiff descent, is excellent with children, said owner Susan Goers, but the duo nevertheless sticks to the floors with adult patients. As a pup, Baylee’s growth was stunted after he became dehydrated, so although he should be around 140 pounds, he’s only 110. Which is still an imposing presence, she noted. “Kids tend to be afraid of him, so we interact more with adults,” said Goers, who enjoys the program as much as Baylee seems to. “I love it, just seeing the looks on the people’s faces and knowing that you’re helping people is so neat.” • TK totalkid.azcentral.com
“What we wish parents knew”
often see parents who think they’re giving their kids — who are perfectly healthy and well in range of where they should be on the national growth curve — a dietary boost by giving them nutrition drinks formulated for children. One reason this happens is parents look around the playground and see friends’ kids, who may very well be overweight, and they start to think their own child is skinny. There are other factors, like genetics, an environmental component that includes discipline, and a structured eating environment, which also play an important role in childhood nutrition. I’ll also hear parents say, ‘My kid doesn’t eat vegetables,’ and they feel these drinks are a good supplement. That’s when I have to point out that these drinks are recommended for kids with nutritional problems, not for children who are healthy.”
Banner Health Center, Goodyear
Raj Patel, M.D.
wish more parents would get creative in the kitchen and at the grocery store to discover foods that their kids find both nutritious and delicious. I have a fouryear-old, so I know how challenging this can be, but there are easy, natural ways to boost nutrition. Try swapping French fries, for example, for broccoli fries that Sprouts sells in the frozen-food section. Or, instead of a snack like potato chips, offer kids a low-fat dressing as a dip with veggies like tomatoes and broccoli. I’m also a big fan of doctoring food. Costco sells a good pasta sauce with no sugar in it, and I’ll add spinach to it as well as my recipe for Sloppy Joes. Just steam some spinach, puree it in the blender and then pour the puree into an ice cube tray and freeze. Then, the next time you prepare a sauce that could use a dose of veggies, just put a cube in a microwave-safe dish, defrost it in the microwave and blend the puree into the sauce. How easy is that?” • TK TOTALKID TOTALKID
RACING AGAINST DIABETES
Learning that you have diabetes may change the way you live, but it doesn’t have to change your dreams. That’s the message IndyCar driver Charlie Kimball brought to Cardon Children’s Medical Center a few months ago when he visited with the hospital’s young patients and their parents. Here, Kimball shares some thoughts on his own diabetes diagnosis just a few years ago and the importance of staying on track when it comes to managing the condition. By Charlie Kimball In 2007 my career as a professional race car driver was just starting to take off and then I was diagnosed with diabetes and everything came to a sudden stop. I really didn’t know much about diabetes and I had no idea how much living with diabetes would change my life. But, with the support of my doctors, family and friends, I was able to come to terms with my diagnosis and from that moment forward, I knew I was not going to let diabetes get in my way or slow me down. If you have been diagnosed with diabetes or you know someone who has been diagnosed, the most important thing to realize is that people living with diabetes do amazing things. And you can do amazing things too!
1 2 3
Three things that help me each and every day: Have the support of your team
Just like I have a pit crew at the racetrack that helps me in the race car, I have a diabetes team who is there to support me. Talk to your team, ask questions and don’t try and do this without them.
Preparation is key
If I do a good job managing my diabetes in the days leading up to a race, I don’t have to worry about it in the car during a race. It’s important to work with your doctors and the other members of your support team to have a plan and it’s equally important you manage that plan and make it part of your everyday life.
Don’t let your diabetes slow you down
Living with diabetes does not mean stop living. Do the things you want to do and live the life you want to live. The most important thing about living with diabetes is the “living” and not the diabetes I have long felt those of us in the diabetes community are part of a special group of people. I know every time I get in the race car, I am not just racing for me and the team, I am also representing the diabetes community and I love that we can be there for one another. • TK Winter 2014
Join a support group
earning you have diabetes can be overwhelming for anyone — much less a child — but outpatient support groups at Banner Thunderbird and Cardon Children’s medical centers help young people and their families adjust to the many life changes a diagnosis can bring. Rachel Calendo, pediatric diabetes program manager at Cardon Children’s, said the hospital has both a family group and a teen group that meet at least once each quarter. Activities may include outings to the zoo or education-based activities, such as learning how to use an insulin pump.
“Our goal is to get kids talking and to have them be less stressed,” she said, “but the whole family is going through this. It’s a big change for the entire family, and a lot of times, siblings feel left out, so we make it a point to include them.”
evening of each month, from 6:30 to 8 p.m. at the hospital. The meetings help patients, parents and siblings better understand the condition. After all, a disease like diabetes does require a child to become more self aware, she said.
Other topics may include learning how to incorporate coping mechanisms into one’s life and, particularly for parents, managing the financial stress a chronic condition can bring on.
“When you’re eight years old and you’re not used to watching what you eat, having diabetes makes your life a bit more structured,” Ward said. “And you have to be compliant, or you can get really sick.” • TK
“Families have so many costs associated each month with diabetes supplies and medication,” Calendo said. “It can be a burden.” Over at Banner Thunderbird, a new support group for children with Type 1 diabetes and their families started just a few months ago. Ronda Ward, a clinical education specialist, said the group meets the second Tuesday
For more information about Cardon Children’s pediatric diabetes support group, visit bannerhealth.com/ CardonChildrensDiabetesEdu. For more information about Banner Thunderbird’s group, visit bannerhealth.com/ ThunderbirdChildrensSupport
• Be vigilant year-round about water safety • Make sure doggie doors do not have access to a pool • Use high locks on sliding glass doors that lead to a backyard pool • Be aware that several plants, including lantana and Mexican bird of paradise, can be poisonous to children
• When using pots/pans on the stove, point handles away from the front so youngsters cannot grab them • If cleaning supplies or anything potentially poisonous is stored under the kitchen sink, put a child-safe lock on the cabinet doors • Immediately drain water from a bucket after use • Post emergency phone numbers by the telephone and refrigerator • Keep all knives and scissors out of reach of children • Keep dishwasher detergent “pods” far away from children, who might mistake the cleaning supplies for candy
• In households with a toddler, put a child-safe lock on all toilet lids • Immediately drain bathwater after bathing • Keep prescription and overthe-counter medicines locked away and out of reach of both young children and teens
SPRING CLEANING CHILD-PROOF GUIDE
Homes can be full of hidden dangers. Tracey Fejt, R.N., offers advice on keeping children safe in the house.
• Set the home's hot water heater at 120 degrees Fahrenheit • Keep detergent “pods” for washing clothes away from children, who might mistake the cleaning supplies for candy
• If window shades/blinds have looped cords, cut the cords to prevent strangulation hazard and use cord stops or safety tassels • If windows lift up to open, install window guards or window stops. Install safety netting on a second-floor window or deck • Use a firm mattress in a crib and make sure it fits snugly • Do not use bumpers in a crib as they present a suffocation hazard • Do not use a crib if the slats are more than 2 3/8–inches wide; otherwise, a baby may be able to put his head through the space and get stuck
AROUND THE HOUSE
• Keep button batteries (often found in musical greeting cards, remote controls and toys) away from children; the alkaline in the battery can burn a child’s esophagus • Watch your visitors’ purses, too — curious kids like to rummage through Grandma’s satchel and may encounter medicine or other substances that could be harmful to little ones • Use outlet covers; simple, plug-in styles are acceptable • Check the smoke detector monthly and replace batteries annually; replace a detector older than 10 years even if it’s still in working order • Use tall lamps behind larger pieces of furniture • Keep exercise equipment in a separate room in the house • Secure any furniture that could tip over (bookcases, TVs, chest of drawers) • Install safety guards on sharp corners of furniture and other items (kitchen island, for example) • Keep in mind that scorpions like your warm and cozy house, too; if stung, call Poison Control first before heading to an emergency room or urgent care facility • TK Source: Tracey Fejt, R.N., injury prevention coordinator and outreach manager for Banner Children's at Cardon Children’s Medical Center in Mesa
WARM & TASTY COLD-WEATHER TREAT Need something healthy to warm you up? Kids can make this healthful recipe — adult supervision and/or assistance may be necessary depending on your child’s age — which is nutritious and satisfying and ideal for a cold-weather break.
Bean and Cheese Quesadillas • 15 ounce can black beans rinsed and drained • 1/2 tsp ground cumin • 1 ounce shredded reduced fat cheddar cheese • 8 8” lowfat ﬂour tortillas • 4.5 ounce can minced green chilies drained • 1/4 cup mild salsa • 2 tbsp minced cilantro • 1/2 cup nonfat plain yogurt • vegetable cooking spray Step 1 Place the beans in a large bowl and mash with a fork. Add the cumin and mix well. Set up all ingredients in an assembly line to be layered in sequence on the tortillas. Step 2 Place one tortilla on a plate and spread evenly with
about 1/3 cup of the mashed beans. Next spread about 2 tbsp green chiles over the beans, followed by tbsp salsa and a teaspoon of minced cilantro (optional). Step 3 Sprinkle evenly with 1 tbsp of cheese. Place another tortilla on top. Repeat procedure with remaining 3 quesadillas. Step 4 Spray a large nonstick skillet with vegetable oil, and heat over medium-high heat. Cook quesadillas until golden drown- about 3 minutes on each side. Step 5 Cut each quesadilla into 4 wedges and serve warm with a dollop of nonfat yogurt on top. We recommend serving with a salad. • TK More recipes: bannerhealth.com/recipes
ENJOYING WINTER FAMILY FUN Ready for a change of venue? Whether you’re heading up north for sledding or skiing or off to a local ice-skating rink, always keep safety in mind when it comes to winter activities. Use appropriate, well-ﬁtting gear and be sure to heed a few of these tips from healthychildren.org, the website of the American Academy of Pediatrics:
Ice Skating etiqutte: • Advise your child to: - Skate in the same direction as the crowd - Avoid darting across the ice - Not chew gum or eat candy while skating - Consider having your child wear a helmet while ice skating.
Sun Protection • The sun’s rays can still cause sunburn in the winter, especially when reﬂecting off snow. Make sure to use sunscreen on your child’s exposed skin.
Sledding rules: • Sledding feet ﬁrst or sitting up, instead of lying down head-ﬁrst, may prevent head injuries. • Consider having your child wear a helmet. • Use steerable sleds, not snow disks or inner tubes. • Sled slopes should be free of obstructions like trees or fences, be covered in snow, not ice, not be too steep (slope of less than 30º), and end with a ﬂat runoff. • TK
In General • Set reasonable time limits on outdoor play to prevent hypothermia. Be sure to have children warm up periodically.
Same Day Pediatric Appointments.
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155 East Warner Road (East of Gilbert Road) Appointments: (480) 649-6600
1917 S. Crismon Road Appointments: (480) 610-7100
13995 W. Statler Blvd. Appointments: (623) 478-3100
17900 N. Porter Road (Southwest corner of Alan Stephens Pkwy & Porter Rd) Appointments: (520) 233-2500
/BannerHealth • We accept most major insurance.
BANNER HEALTH 1441 N. 12th STREET PHOENIX, AZ 85006-2887
NONPROFIT ORG U.S. POSTAGE PAID LONG BEACH, CA PERMIT NO.1677
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This interactive magazine includes videos, photo galleries, kids games and recipes to help parents raise healthy kids. In this issue you will find: • Parents can ‘breathe easy’ as Banner Children’s experts tackle asthma • ‘Wet noses, warm heart’ -therapy dogs brighten kids’ lives • First-ever interactive Spring Cleaning Child-Proof Guide
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