onepediatricspllc

Safe and Effective Use of Antibiotics

Sat, 03 Jan 2026 01:32:24 GMT

Nearly every parent can recount the experience: their child is unwell, awake late at night with a sore throat, fever, maybe a persistent cough, or any combination of symptoms. No one is sleeping well, and they’ve exhausted their over-the-counter remedies.

When you make a sick visit appointment for symptoms like those listed, it’s understandable to hope for quick relief in the form of a prescription. Antibiotics are a wonderful treatment for bacterial illness or infection, but they’re ineffective against viruses and can actually cause more problems if used incorrectly. While your physician will ultimately determine treatment for illness, below are some general guidelines for antibiotic treatment.

Viruses are not cured with antibiotics. If you’re ever unsure if an illness is viral or bacterial, it’s perfectly acceptable to ask. Examples of prevalent viruses include flu, Covid-19, and common cold. Pneumonia can be viral or bacterial. Strep throat describes an infection with streptococcal bacteria; most sore throats, however, are a symptom of viral illness.

Antibiotics should not be prescribed without confirming the presence of bacteria, if possible. This is why your physician will typically request a test or culture of areas where bacterial infection is suspected. Ear and sinus infections are more likely to be confirmed by sight and treated appropriately.

If you or a family member have ever received a prescription such as Tamiflu, note that it is an antiviral and not an antibiotic. Antiviral drugs exist for certain viral illnesses, and they are usually most effective when the virus is detected early. Usually, the best treatment for viral illness is rest, fluids, and OTC symptom relief medication for fever or discomfort such as Tylenol (acetaminophen) or Advil (ibuprofen). That said…

Viruses can lead to bacterial illness. When a person’s immune system is compromised, their body becomes vulnerable to further infections. Influenza can trigger viral or bacterial pneumonia; colds can lead to ear infections. In these cases, antibiotics may be prescribed to treat the complications. If this occurs, rest assured that your doctor did not prolong or worsen your child’s illness by not prescribing antibiotics immediately. In fact…

Antibiotics can cause more problems if used prematurely or inappropriately. There are many types of antibiotics, each designed to eradicate specific harmful bacteria. The body also uses helpful bacteria to function normally.

“Using antibiotics without clear physician guidance can eradicate good bacteria, not treat the original problem at all, or make bacteria more resistant and therefore harder to treat. This is why physicians want to see patients in person before giving prescriptions: so they can treat illness the right way at the right time. Speaking of using medications appropriately…

Use all medications, including antibiotics, as directed. If your pediatrician says to administer an antibiotic for 10 days, but the child’s symptoms “clear up” after five days, finish the course of treatment anyway. Even if a patient is feeling much better, bacteria may persist in the body. Not finishing treatment can cause infection to recur, possibly with more antibiotic-resistant bacteria. Medication should also be stored and administered as directed. Some antibiotics must be refrigerated and/or given with food.

Antibiotics are usually given with clear directions and amounts so there is none left over. If you do have leftover antibiotic, it should be disposed of safely. Do NOT give a person leftover antibiotic from previous illness or medication that was prescribed for someone else.

If anything should happen to a prescription medication, such as a spill or forgetting it when you go out of town, call your prescriber’s office for further guidance rather than skipping doses or using alternate medication. Accidents happen, and your physician can make a judgment call on refilling missing doses. Which reminds us…

Communicate with your pediatrician. When kids are seen for illness, their physician will always encourage parents to call if symptoms get worse, don’t resolve, or other concerns arise. This is sincere advice, whether the illness is viral or bacterial, medicated or not. Your pediatrician wants to know if a patient is not getting better. This includes poor reactions to any medication, such as upset stomach or new symptoms.

Some individuals are intolerant or allergic to medication, including certain antibiotics. If a child in your care shows signs of allergic reaction, including but not limited to coughing, wheezing, shortness of breath, itching, sneezing, runny nose, hives, watery eyes, or swelling, seek emergency treatment right away. If you know or suspect a child in your care has ingested too much of a medication, whether prescribed to them or not, contact Poison Control at 800-222-1222 and/or seek emergency treatment.

WATER SAFETY: Recognize and Avoid Drowning Incidents

Sat, 03 Jan 2026 01:31:12 GMT

As soon as daylight saving time begins and we enjoy more sunshine, many families eagerly anticipate their spring break and summer vacation. It’s never too early to plan for water safety, and some practices are crucial for babies and toddlers year-round.

As awful as it is to consider, drowning is the leading cause of death for children ages 1 to 4 according to the Centers for Disease Control and Prevention. Swimming pools are especially dangerous, but bathtubs, kiddie pools, filled buckets or basins, fish ponds, and natural bodies of water all deserve extreme caution.

Many of us expect drowning to be theatrical with shouting and flapping arms, but it’s actually much more subtle. Signs of drowning include:

Body vertical
Head tilted up with mouth at water level
Hair over the forehead/face
Very quiet- not talking, shouting or waving
Ladder-climbing motion

“These quiet behaviors are an instinctive response,” says Dr. Kara Murphy Schmidt at One Pediatrics at Simpsonville. “Even children who know how to swim can become exhausted and struggle to stay afloat. Drowning happens quickly, and the lungs don’t have to completely fill with water for an incident to be dangerous or even fatal."

If your child has a near-drowning experience, it’s best to halt water play for the day. “Dry-drowning” occurs when water causes a person’s vocal chords to spasm and close. “Delayed drowning” happens when a small amount of water is inhaled and irritates the airways. Children should be monitored for fatigue, respiratory distress, and coughing or congestion after any incident.

Pools themselves should have a fence around them with a gate closed at all times. The American Academy of Pediatrics recommends pools be completely separate from the house, a fence at least four feet tall on all sides, and the gate latch at least 54 inches off the ground. Alarms that chirp when someone opens a door are also recommended in homes with pools. If your child is visiting a home with a pool, ensure that adults will be enforcing water safety and know life-saving procedures.

Enrolling kids in age-appropriate swimming lessons as soon as possible is strongly recommended. Kids who don’t know how to swim should wear a flotation device at all times near pools or other bodies of water, and make sure it’s approved for their weight. Novelty inflatables, especially inner tubes, can become dangerous if a child flips upside down so their head is in the water and they can’t swim out. The opening should be wide enough in diameter that the widest part of the user’s body can slip through. Supervise children closely as all times in pools, even if they have flotation devices and/or can swim.

In addition to pools, families should practice bath time safety. Babies can drown in just an inch or two of water, so keep hands on them at all times. Have your soap and towel nearby before they enter the water, and monitor toddlers at all times in the tub. Check water temperature with your wrist or elbow before bathing. Baby-proofing measures including toilet latches and doorknob covers can protect curious little ones from the bathroom as a whole.

Your pediatrician can recommend water safety measures, both in general and for your home’s particular features. Don’t hesitate to share concerns and maintain age-appropriate safety.

*** If a child in your care becomes unconscious in water, remove them from the water immediately, call 911, and administer CPR.

Navigating Self-Harm

Sat, 03 Jan 2026 01:30:06 GMT

Most contemporary parents are at least familiar with the notion of self-harm, and increasing numbers of families are dealing with it firsthand. Non-suicidal self-injury, or NSSI, refers to a person hurting themself on purpose without the intent to die. While frightening to consider or address, some basic knowledge of these behaviors can only help if it affects your child or one of their friends.

The most common form of self-harm is cutting, but self-injury can take other forms including hitting oneself, head banging, hair pulling, burns, excessive scratching to the point of drawing blood, and ingesting harmful substances. Cutting can manifest as single deep cuts, numerous smaller ones, or some combination. The American Academy of Pediatrics states that NSSI is most prevalent among teens, and females are more likely to self-harm through cutting and males through hitting. However, adolescents of any age ranging from pre-puberty through early 20s and gender–including non-binary or transgender individuals–are equally capable of self-harming behaviors.

Parents or caregivers who have identified NSSI often struggle to understand why their loved one feels the need to self-harm. This confusion, combined with sadness, fear, and perhaps some anger, can lead to unhelpful (if well-intentioned) reactions. While each case is unique, a few principles can help parent and child navigate this challenge:

KNOW WHAT TO LOOK FOR

Active kids are naturally more prone to small wounds, but those engaging in self-harm will almost always hide their marks. Long clothing (even in warm weather), bandages repeatedly placed in the same area(s), frequent bruises, or other recurring marks may be cause for concern. Symptoms of depression, such as overwhelming feelings of hopelessness or worthlessness, sleep disturbances, and persistent fatigue, should also be noted. Young people suffering from depression are more likely to engage in NSSI.

APPROACH A DIFFICULT CONVERSATION WITH LOVE

Your internal thoughts may be screaming, “How could you do this?!” or “What could you possibly be so miserable about?!” It’s important to foster a safe space for the adolescent to discuss what is real to them. While there is no clear explanation for self-harming habits, many teens report a need to escape feelings of agony or feel better for even a moment. The AAP explains that when human bodies are injured, the brain releases endorphins and other natural painkillers to cope. This may suggest a connection between self-harm and temporarily “feeling better” when other solutions are unclear.

Regardless of the reason, remind your loved one that you’re concerned for their well-being and want them to feel safe. While it’s ok to acknowledge your sadness, do so in a way that does not impose more shame on the sufferer. Explain your concerns gently, and be open to hearing what they have to say even if it doesn’t make sense to you right away.

TALK TO THEIR DOCTOR

Since people who engage in NSSI are likely to hide it, they might have a strong or negative reaction when you address it. Let them know that you plan to talk to their doctor and hope they will participate in the conversation.

“Remember that incidents of threatened or confirmed self-harm do not make you a bad parent,” says Dr. Eleanor Braun at South Louisville Pediatrics. “This is a challenging, murky topic that pediatricians are addressing in a wide spectrum of patients and families. Neither you nor your child need feel stigmatized. Help is available.”

Follow through on your doctor’s recommendations, including any follow-up appointments, specialist referral, and/or safety plan. If you need help, ask! Behavioral healthcare is in high demand and not always straightforward in the billing department. Your pediatrician’s office will strive to help.

NURTURE A HEALTHY HOME ENVIRONMENT

If your child is confirmed to self-harm, you can make your home safer by limiting access to dangerous implements. Beyond stashing sharp objects–and just as important–you can:

Maintain open communication and regularly check in on their emotional state
Prioritize mental health for the whole family through self-care and downtime
Set a healthy example of limiting social media exposure
Never overshare about a person’s private struggles, or write them off as a ply for attention

24/7 Crisis Support Options:

https://www.crisistextline.org/ | Text HOME to 741741 to connect with a volunteer Crisis Counselor

The National Suicide Prevention Lifeline: DIAL 988. When people call, text, or chat 988, they will be connected to trained counselors that are part of the existing Lifeline network. These trained counselors will listen, understand how their problems are affecting them, provide support, and connect them to resources if necessary. The previous Lifeline phone number (1-800-273-8255) will always remain available to people in emotional distress or suicidal crisis.

Medication Safety at Home

Sat, 03 Jan 2026 01:25:43 GMT

When used properly, medications are an invaluable asset to our daily lives. As families grow and medicine cabinets expand, however, we must be extremely cautious in how they’re used.

Just this year, the FDA released a warning about the dangers of using Nyquil—which many families have in their homes—to perform a social media stunt. Both over-the-counter and prescription medications can be harmful, and accidents happen. To help with safe medication use, we’re sharing some advice and reassurance:

PROTECT SMALL CHILDREN FROM ALL MEDICATIONS

The most obvious advice is to keep all medications away from young children. Flavorings added to children’s antibiotics, fever reducers, and vitamins to make them more palatable also make them more enticing. Data from the Poison Control Center shows that nearly half of all poison exposure calls in 2019 involved children younger than age 6, who are simply more likely to consume things on impulse. All medicines and supplements should be kept out of reach, including nicotine substitutes which are extremely dangerous to kids.

Protection also requires careful dosing when using pediatric products as advised. Remember that similar bottles, like name-brand and generic Tylenol for example, can have differing amounts of active ingredient per dose. Always check the dosing instructions on the bottle before giving.

ENSURE PROPER USE FOR OLDER KIDS

As children become adolescents, the challenge often transitions to making sure they don’t skip medications when needed! Even after your child is old enough to take medicine on their own, whether prescription or OTC, it’s not a bad idea to help them use it correctly. You can assist in establishing a routine for daily prescriptions, and make sure they use the correct medicines when they’re feeling unwell. Teenagers in particular don’t always want to share every headache or stomach upset, and they may conceal fevers or other problems so their lives aren’t interrupted. Give your attention to any symptoms requiring more than a single dose of relief.

AVOID KEEPING UNNECESSARY MEDICATIONS

Not every prescription is taken until it’s gone, and many adults stash away unused medicines “just in case.” This simple, common scenario explains how many drugs end up in the wrong hands. Perhaps an adult in your household had surgery and received opioid painkillers during recovery, or maybe your teenager changed their dose of ADHD medication and now you have leftovers of the old prescription. Whatever the case, it’s best to dispose of unused drugs safely.

To find a drop-off location for unused or expired prescriptions, visit the DEA’s convenient Controlled Substance Public Disposal Location search utility.

SHARE ALL CURRENT INFORMATION (AND CONCERNS) WITH YOUR PEDIATRICIAN

“If your child was given a prescription by their physician, but you’re concerned about dosage or side effects, don’t hesitate to contact their office,” says Dr. Greg Robson at Oldham County Pediatrics. “Likewise, we want to know about any over-the-counter medications or vitamins our patients are using, whether daily or as needed, including holistic remedies. We won’t use this information to chastise parents. Rather, we want to make the best and safest recommendations for our patients.”

Don’t forget to update your primary care physician about:

New medications from a specialist, including dermatology prescriptions
Allergy relievers
Probiotics or immune support supplements
Sleep aids, such as melatonin
Medicines used during illness, including fever reducers, cough suppressants, and “rescue” medications for asthmatics

FINALLY, GET HELP IF NEEDED

The benefits of medication should always outweigh their hazards. If any medicine has been used inappropriately under your supervision, whether on purpose or by accident, get help. The Poison Control Center is a fantastic resource available 24/7/365, and any information they collect is to give proper advice and record important statistics. Contact your doctor for monitoring use of routine products, and always call 911 for any signs of harmful ingestion.

For patients with Anthem insurance–make sure your PCP is correct!

Sat, 03 Jan 2026 01:13:48 GMT

Anthem Blue Cross & Blue Shield is one of the most commonly-seen insurance providers across One Pediatrics practices. We work closely with Anthem (and other insurers) to make sure patients receive all age-appropriate preventive care covered, including routine well visits, sports physicals, immunizations, preventive screenings and surveys, and chronic condition management.

Insurers communicate with pediatricians to best facilitate each child receiving the routine care they’re entitled to. With this in mind, it’s very important that patients have the correct primary care physician on file with their insurance company. Sometimes, their records are incorrect due to changes that take time to update. The best and easiest way to make sure your insurance provider’s records are correct is to select your PCP yourself.

This is an easy process. Anthem subscribers just need to log in to the Anthem member portal . You can also create an account if you don’t already have one. Then…

Select the stethoscope icon under Quick Tasks on the home page
Click Select or Change Primary Care Physician
Choose the member/dependent
Click Change on the right side of the page
Enter your zip code
Enter the name of your child’s physician, then click Search
Click Choose my PCP next to your chosen provider’s name
Click Confirm to verify the change, then Done

By following these easy steps, your insurance company will make any changes in 30 days or less. It can take much longer for their records to update on their own. You can also designate your child’s primary care physician by calling the phone number for Member Services on the back of your insurance card.

We thank you for managing this step with your insurance so we can focus on providing the best care to our patients!

Avoiding & Treating Dehydration in Children

Sat, 03 Jan 2026 01:13:05 GMT

To support continuity of care, One Pediatrics practices routinely follow up with patients seen in a hospital setting. In recent months, we’ve noted an increase in the number of pediatric patients treated for dehydration in the emergency room. With this data in mind, we hope to reduce the frequency of children needing urgent treatment.

While dehydration isn’t uncommon as a symptom of other illnesses, it’s not usually an ailment by itself. Kids become dehydrated after prolonged fevers, vomiting, diarrhea, or even simply from not taking in enough fluids while they feel unwell, over-exercise, or overheat.

PREVENTING DEHYDRATION

On a normal daily basis, children are more susceptible to dehydration than adults. They have faster metabolisms and a higher ratio of body surface area to weight, are often on the move, and don’t regularly think about their fluid needs. Kids should have water always accessible during the day, even if they’re relaxed. Consistent intake will help prevent an imbalance once they’re active. The American Academy of Pediatrics says children ages 1-3 years need approximately 4 cups of beverages per day, including water or milk. During ages 4-8, increase the amount to about 5 cups, and 7-8 cups for older kids. During exercise, kids should hydrate at least every 20 minutes.

When illness strikes, especially gastrointestinal viruses, children may not be interested in fluids or struggle to keep them down. If the child is vomiting, offer small sips of water or ice cubes until they can tolerate an ounce of fluid in one hour, then increase to 2 ounces the following hour, 3 ounces the next, etc. Be careful with sports drinks like Gatorade—they contain electrolytes but also lots of sugar that can make diarrhea worse. Sugar in general should be limited, but you can offer a 1:1 mix of juice and water if necessary. Artificial sweeteners are also known to cause further stomach upset.

Any illness can lead to dehydration if a child isn’t taking in enough fluids. Kids with sore throats, for example, may avoid consuming anything because it’s uncomfortable. Flu, Covid-19, or even a common cold may simply cause so much fatigue that a child misses water breaks because they’re sleepy. You can offer fruit-based popsicles for raw throats, or water-heavy foods like soup, applesauce, melon, etc.

RECOGNIZING DEHYDRATION

By knowing the signs of dehydration, you can address it before it becomes severe. The most common signs in babies are fewer wet diapers (normally 6-8 per day), extra sleepiness, sunken soft spot (fontanelle) on top of their head, and no tears when crying.

Even after a child can communicate their needs and/or recognize thirst, they might be easily distracted from taking a water break or picky about what they want to drink. Symptoms of dehydration include dry/sticky lips and mouth, irritability, dark urine, and flushed skin. Older kids and adolescents will experience these same symptoms, plus headaches, lightheadedness, and cramps.

Severe dehydration can trigger a rapid heart rate, extreme fatigue, confusion, and unresponsiveness. If your child is experiencing these symptoms, seek immediate medical attention. Heat stroke, when the body’s core temperature is dangerously high, will cause these symptoms.

TREATING DEHYDRATION

On a typical day, make sure all kids over age 1 have consistent access to water. Ideally, kids should have a water bottle at school every day and on family outings. Babies under 6 months should drink breast milk or formula only, and 6 months to 1 year should have one cup of water per day in addition to their milk/formula intake.

If your child is sick and dehydration is a concern, contact your pediatrician’s office right away. Do not give kids any medication (like anti-nausea or anti-diarrhea medicines) unless directed or prescribed. Your doctor can also provide guidance on proper amounts of electrolyte solution (Pedialyte) and fever management.

Severe dehydration is treated with IV fluids in a hospital setting, bypassing the need to take in liquids by mouth, and may also require prescription medication to treat the cause.

If you’re ever concerned about your child’s hydration level, whether they’re well or sick, let your pediatrician know. Dehydration is highly manageable until it becomes a serious problem, and our providers have years of experience treating habitual or illness-based symptoms. We will also help with next steps if it’s time to seek hospital-level treatment.

TREATMENT FOR SEVERE ACNE: Is Isotretinoin Right for My Teen?

Sat, 03 Jan 2026 01:11:28 GMT

The vast majority of teenagers experience some degree of acne. Many families seek the help of dermatologists, who begin treatment with skincare regimens, topical medications and/or antibiotics. Severe and persistent forms, however, may be unresponsive to these treatments and lead to debilitating physical and emotional scars alike.

When nothing else works, dermatologists consider a prescription for isotretinoin. Often still referred to as “Accutane” despite the brand’s discontinuation in 2009 as generic forms became available, isotretinoin is a vitamin A derivative that can permanently clear severe acne in 4-7 months.

“If you are a parent considering isotretinoin for your child, there are pros and cons to consider,” says Dr. Eleanor Braun at South Louisville Pediatrics. “The most obvious benefit is clear skin and a boost in self-esteem during crucial years of social and personal development. As a caregiver, however, remember that treatment will be demanding for you as well.”

CONSIDERING ISOTRETINOIN? PLEASE READ THE FOLLOWING:

It is not a first resort. If your child has never received professional treatment for acne, do not expect an isotretinoin prescription right away. Due to the possible side effects and responsibility required to take it, dermatologists will nearly always start with less severe options, especially if the patient is 14 or under.

The possible side effects are numerous and may be severe. Most people already know that the #1 risk of taking isotretinoin is pregnancy. If a patient taking isotretinoin becomes pregnant, severe birth defects are extremely likely. Beyond this risk, new or worsening depression has been linked to isotretinoin treatment, so patients taking it should monitor their mental well-being and be prepared to answer questions during check-in appointments. They must also complete monthly fasting blood tests to monitor liver function and metabolism. If results come back abnormal, your doctor may want to repeat the test, adjust or halt treatment.

Less severe but common side effects include: skin dryness/itching; chapped lips (nearly guaranteed); increased susceptibility to sunburn; headaches; joint, muscle or back aches; dry or irritated eyes; nose bleeds.

The commitment is strenuous. A number of steps are required before your dermatologist can administer the first dose. Patients of any age and gender must be enrolled in the mandatory iPledge program, completing requirements which vary according to whether the patient is capable of pregnancy. No one using isotretinoin may donate blood during treatment or for one month afterward. Don’t forget the monthly blood tests.

Patients who are capable of getting pregnant: Must have two negative pregnancy tests at least 19 days apart (if not 30 depending on menstrual cycle and/or birth control) prior to receiving their initial prescription. They must also attest to using two forms of birth control each month of their treatment, and these forms must match what is reported to the prescribing physician.

This may be frustrating for patients who are not sexually active or don’t identify as female, but your prescriber and pharmacist are bound by the FDA to follow these rules. The prescriber must continue to run and report a monthly pregnancy test regardless of the patient’s age, stage of development, sexual activity, or gender identity. Once iPledge requirements and monthly blood work are complete, the prescription must be obtained within 7 days.

Patients who are NOT capable of getting pregnant: Once iPledge requirements and monthly blood work are complete, the prescription must be obtained within 30 days. If they are sexually active with an isotretinoin-using partner who is capable of pregnancy, they should adhere to that person’s chosen forms of birth control.

Beyond these medical requirements, there are time and financial demands to consider. The monthly appointments are time-sensitive, must be completed in person, and may incur co-pays for office visits. The cost of the drug itself may also vary depending on brand, insurance coverage, and pharmacy.

There are downsides. A teen suffering from acne may welcome the side effects or risks as long as their skin clears up, but they should consider a few stipulations:

It may not be curative. Despite isotretinoin’s success record, it doesn’t work permanently for everyone. Female patients in particular may experience hormone fluctuations later in life that cause acne to return.
Some side effects may linger after treatment concludes. Temporary hair loss has been reported after taking isotretinoin. Hair density typically returns with time, but patients should be prepared for extra shedding and regrowth of “baby hairs.”
Needles are part of the program. If your teen is averse to needles, they should know that monthly blood draws are required for isotretinoin prescriptions. If the blood work isn’t completed, they can’t get a refill.
IPledge requirements are subject to gender at birth. Patients and caregivers should maintain open communication about the demands, which may be uncomfortable if you’ve never talked about birth control or your child doesn’t identify with their birth gender.

“If isotretinoin is the right choice for your teen, please inform your pediatrician of treatment and any hormonal birth control they may be starting,” says Dr. Braun. “This lets us know which drugs not to prescribe, including some antibiotics, and whether we should look out for any red flags during or after treatment. Our priority is to be a supportive partner in your child’s health and well-being.”

Product Safety for Babies

Sat, 03 Jan 2026 01:10:03 GMT

The baby product industry is worth tens of billions of dollars annually. With countless goods on the retail and secondhand markets, it’s impossible for new or experienced parents to sift through every option. We often rely on reviews, recommendations, and the wisdom of others.

Factor into that wisdom the experience of your pediatrician. Beyond years of education, training, and daily practice, your child’s doctor maintains awareness of ever-evolving product safety. Unfortunately, many have also treated negative effects of unsafe items firsthand.

“Just because a product is manufactured for children doesn’t guarantee its safety,” says Dr. M.K. Allgeier at All Star Pediatrics. “Tragically, items aren’t usually recalled or changed until something terrible happens, and even then, the process can be slow.”

Listed below are several products with a history of risk to babies, plus guidance on alternatives:

INCLINED LOUNGERS : Arguably one of the most popular baby registry items as they promise to give exhausted parents a break, inclined loungers include many products marketed as “rockers,” or “sleepers.” Used correctly, they’re meant to entertain or relax infants under constant supervision. Far too often, however, babies drift to sleep in them and stay there.

Loungers with an incline over 10 degrees are hazardous to sleeping babies for a couple reasons. Baby heads are heavy, and the incline can bring their chin to rest against their chest while they sleep. This position restricts the airway, which can be further suppressed by a seat buckle. They also usually include plenty of cushioning, a suffocation hazard if baby turns their face to the side. For these same reasons, breastfeeding pillows like the famed Boppy should never be used to hold sleeping babies.

If you plan to use a lounger or swing, make sure baby is always supervised in it and transfer them to a flat sleeping surface if they doze off. Safe places for sleep include cribs, portable playards (Pack n’ Play) or bassinets for babies who cannot roll over yet, all of which should be bare inside. If your baby attends daycare or spends extended time with relatives, ensure they also follow these rules.

CRIB ACCESSORIES : By now, most parents have heard the dangers of crib bumpers. They’re a known suffocation hazard responsible for dozens of preventable infant deaths. Cushioning is an obvious danger, but even mesh bumpers can be a strangulation hazard if a baby wedges their head/neck between the bumper and the mattress. Older babies may also be tempted to climb or pull up on a bumper. Sleep spaces should be kept bare, especially for babies under 1 year old. No bumpers, blankets, pillows, stuffed animals, toys, or bottles should be present, and a fitted sheet should fit the mattress precisely so there is no excess fabric.

New federal safety standards passed by the U.S. Consumer Product Safety Commission in 2022 ban the sale of unsafe crib bumpers and inclined sleepers, holding them to the same rigorous safety standards as other sleep furniture. Even so, suppliers have until later this year to fully comply, and the secondhand market is difficult to regulate. Again, make sure other caregivers follow safe sleep rules.

AMBER TEETHING NECKLACES : Unlike the products above, amber teething necklaces are relatively new to the industry. Claiming to relieve teething pain by transferring succinic acid to the bloodstream as it’s absorbed through the skin, these necklaces are generally a small strand of golden-brown beads with various types of closures. Over the last several years, they’ve become widely available from boutiques, big box stores, and online retailers alike.

First and foremost, any necklace on a baby is a strangulation hazard. They can constrict a child’s airway while they’re sleeping or get caught on something while they play. A broken strand is a choking hazard the same as any beads. Further, there is no scientific evidence whatsoever that they’re effective against teething pain. Succinic acid is not released from (real) amber until it reaches a dangerously high temperature, and these necklaces are not regulated for authenticity of the amber anyway.

Teething pain is best relieved by durable, safe, single-piece teethers and rest. Your pediatrician can also clarify the appropriate dose of acetaminophen for teething-related fever and discomfort.

USED CAR SEATS : Car seats, like vehicles themselves, are intensely scrutinized and tested for safety. Even so, parents should abide by a few cautions: Car seats should not be used if they are more than 6 years old or have surpassed the manufacturer’s expiration date. Purchasing or accepting a used car seat is not recommended as you don’t know its history. If it was involved in a wreck or improperly stored, it should not be used again.

Car seats are made with plastic, which weakens over time in extreme/uncontrolled temperatures like hot attics. If your child has outgrown their seat and you want to use it for a sibling before the expiration date, store it in a temperature-regulated space. Many stores offer trade-in programs where you can turn in an old car seat for a coupon to purchase a new one. Share the coupon with someone else if you don’t need it!

UNSECURED FURNITURE : We cannot stress enough that any furniture taller than it is wide—namely, shelves and dressers—should be secured to the wall before your child is crawling. Do not procrastinate on this baby-proofing step. Only one incident can be catastrophic. If your furniture did not come with a securing mechanism, you can purchase kits to get the job done from hardware stores or online.

Note that if you move homes or purchase new furniture after your child has outgrown toddlerhood, it’s still not a bad idea to secure it. Climbing is not the only hazard. Dressers can tip if multiple drawers are pulled out at once, and narrow shelves are risky on even slightly-uneven floors. You also won’t have to worry about guests with a baby or young child. What harm is a little added safety?

“If you’ve used one of the above products during your parenting journey, we are absolutely not shaming you as a caregiver,” Dr. Allgeier emphasizes. “Our only ‘dog in the fight’ is your child’s wellness. We understand how marketing works, how hard parents try to find budget-friendly, efficient products, and how challenging it is to keep up with recalls. If you’re not sure about a baby item you’re using, ask us!”

For more information on products to avoid and safe sleep guidance from the American Academy of Pediatrics, visit https://healthychildren.org/English/ages-stages/baby/sleep/Pages/Inclined-Sleepers-and-Other-Baby-Registry-Items-to-Avoid.aspx

To view lists of baby product recalls by year and sign up for email notifications of new recalls, visit https://www.safekids.org/product-recalls

TALKING TO KIDS ABOUT DISASTERS

Sat, 03 Jan 2026 01:08:12 GMT

Covid-19 has been a defining catastrophe for countless childhoods. Even so, the endless news cycle of tragic events never stops, and parents are left to wonder how any number of upsetting circumstances are affecting their kids.

As pediatricians dedicate more and more of their working lives to emotional and behavioral wellness in their patients, we would like to offer some advice for discussing tragedies—such as war, weather-related disasters, crime/violence, or accidents—with children and adolescents.

ASK WHAT YOUR CHILD ALREADY THINKS AND FEELS. For parents, the most stressful part of addressing disasters is the uncertainty about how much their child already knows. We don’t want to overshare and risk further upset. Simply ask. Let them know there is no right or wrong answer, you just want to see how much information they already have and how they’re feeling. From there, you have an opportunity to answer questions or possibly correct false/exaggerated statements they’ve picked up.

ACKNOWLEDGE THAT ADULTS ARE CONFUSED TOO. Young children in particular may see adults as all-knowing, but this is a recipe for confusion as adults are constantly sharing conflicting views or news that’s still unfolding. Adults usually don’t know exactly how or why something has happened, and reminding kids of this fact can alleviate some anxiety that they’re “in the dark.”

PROVIDE HONEST REASSURANCE. Depending on the topic, provide age-appropriate facts and comfort. If your child is upset by conflict abroad, talk about the people providing emergency relief. Perhaps there was a recent break-in in your community—let your child know that you double-check the locks every night and your neighbors are looking out for one another. Try not to worry about the “perfect” response OR assigning blame to a particular person, group, or cause. There may be a responsible party, but fixating on an enemy can be counterproductive to stress relief.

AVOID GRAPHIC AND REPEAT EXPOSURE. It’s probably obvious that young children don’t need to see frightening images or hear repetitive news coverage. Around older kids, allow peaceful moments to be exactly that. Even though most teens have unfettered access to news, a family dinner may not be the time to bring up current events (unless they want to talk about a particular issue). Make an effort to let serious discussions and relaxing quality time exist separately.

SEEK ADDITIONAL SUPPORT IF NEEDED. If you suspect your child is feeling especially anxious, depressed, or obsessive, there’s nothing wrong with getting a professional opinion. “Every clinician at One Pediatrics has stepped up to the plate to address our patients’ emotional well-being, more than ever in the last couple years,” says Dr. Eliot Thompson at Springs Pediatrics. “We see and hear the same news as you, and worry for how it reaches our loved ones. We’re here to listen and find next steps without judgment.”

Take note of changes that may indicate higher levels of stress, including sleep issues (nightmares, insomnia, excessive tiredness), changes in appetite, headaches, clinginess or regressive behavior in small children, irritability, obsessiveness, or unhealthy coping/“distractions” in adolescents. Each of these behaviors could have a clear developmental explanation, but your pediatrician can look at the complete picture and monitor these changes for red flags.

PREPARE FOR FEELINGS TO CHANGE. Remember that these conversations will evolve because the news changes rapidly and each day is a new opportunity for kids to be exposed. Children can seem naïve or uncaring one day and feel affected the next as they learn and contemplate, even by events that don’t directly affect them. Your own feelings may fluctuate too—talking to kids about catastrophic events is an emotional step for many caregivers.

For more information on emotional wellness from the American Academy of Pediatrics, visit https://www.healthychildren.org/English/healthy-living/emotional-wellness/Pages/default.aspx

HEALTHY HABITS FOR THE WHOLE FAMILY: Breaking Away from Picky Eating

Sat, 03 Jan 2026 01:03:01 GMT

At some point, the majority of parents have heard the same sentence: “I don’t like that.” Your child sees a new food on their plate that they’ve never tried before, but they’ve already decided they don’t like it. This is a frustrating, common experience.

Feeding kids a healthy diet is an enormous responsibility for busy parents. On top of picky eaters, we must also contend with the financial burden of serving nutritious meals. Listed below are some tips for making the job a little easier:

COOK TOGETHER. This tidbit may seem overly-obvious, but the American Academy of Pediatrics agrees that letting children participate in meal preparation will help them be more willing to try a variety of foods. Contributing to the process and appreciating the work involved can give them a sense of pride in the food by the time it hits the table, and new foods become less intimidating as they smell, touch, and learn about them before it’s time to eat. They might also enjoy…

MEAL PLANNING. Thinking ahead really benefits the whole family. You can purchase groceries mindfully, knowing how you’ll use them, and set a schedule of healthy meals and treats. If you plan to have pizza on Friday night, have a constructive conversation about what to eat for the rest of the week: “I’m looking forward to pizza too! But let’s plan a couple healthier dinners to have before then so our bodies get everything they need.”

TRY NEW FOODS TOGETHER. We get it. Even if you enjoy cooking, it can feel like a pain sometimes. All that work, from grocery shopping to washing up, means we often end up with a limited repertoire of tried-and-true dinners. Rising food prices can also make you (understandably) less inclined to purchase new ingredients, risking that they won’t get eaten. If you find yourself in a rut, ask for your children’s input. You can look through a cookbook or website for ideas together, or ask if there are any foods they’re curious about. This is a great opportunity to cook together as suggested above. Even if it’s not a new favorite, everyone is learning in the process.

DEMONSTRATE A POSITIVE ATTITUDE. All of us are constantly exposed to body image “ideals.” Historically impractical, these standards have become ridiculous as technology makes it easy for anyone to distort reality. Combined with the normal physical changes of puberty, kids don’t need more negative exposure.

“Unfortunately, we’ve seen more patients struggling with eating disorders since the pandemic started,” says Dr. Patrick Hynes at Prospect Pediatrics. “Both restrictive and binge eating are dangerous for long-term health, but food can sometimes feel like the only thing a young person can control. We’re not suggesting that parents are solely to blame for these issues, but you can set a good example with positive self-talk and rational approaches to food.”

Strive to never comment on someone else’s body, good or bad, around your developing child. Just as importantly, don’t speak badly about yourself. It’s easy to say, “I need to lose some weight” in the comfort of your own home, but try to rephrase with a solution in mind: “That pasta was delicious, but I’m feeling sluggish today. I think a salad with dinner tonight will help me get back some energy.” Words like this make it clear that your body is not the problem.

AVOID A PUNISHMENT AND REWARD MENTALITY. It’s the oldest trick in the book. “Eat your dinner so you can have dessert.” It’s so tempting to use this approach if it gets the job done, but it can create a domino effect of kids expecting dessert any time they clear their plate. Worse, it establishes healthy foods and sugary foods as opposites—bad followed by good. But eating a balanced diet is not a punishment, it’s a privilege. Enjoy dessert as the occasional treat it is, not tied to any other task.

As you work toward good family habits, remember that no parent is perfect. Preparing one healthy meal a week is better than zero, and supporting healthy body image means being kind to yourself too. Feeding kids is one big job on the list of big jobs to manage, and your pediatrician understands as well as anyone. They’re ready to listen to your concerns with compassion, sensitivity, and experience.

TRANSPORTATION SAFETY: Protecting Kids on the Road at Every Age

Sat, 03 Jan 2026 01:01:42 GMT

With so much emphasis on the unknown in recent months, it’s easy to overlook the routine precautions we’ve all heard before. Most people use vehicle transportation nearly every day, but rushed schedules or lax habits can make them less safe for the whole family. The National Highway Traffic Safety Administration states that traffic accidents are the leading cause of death and disability for children nationwide, so there’s never a bad time to revisit best practices.

The most obvious point to cover is CAR SEAT usage. Kentucky law requires children less than 40 inches tall to ride in a car seat with a 5-point harness. Straps should come over both shoulders, buckle across the child’s chest at armpit level and also connect to a buckle between their legs. Car seats must be rear-facing until the child reaches age 1 and at least 20 pounds, though age 2 and 30 pounds are ideal. A seat should not move more than one inch in any direction when pulled.

Car seats should not be used if they are more than 6 years old or have surpassed the manufacturer’s expiration date. A car seat involved in an accident should be replaced, and using a seat with an unknown history is not recommended. Many stores offer trade-in programs where you can turn in an old car seat for a coupon to purchase a new one. Share the coupon with someone else if you don’t need it!

BOOSTER SEATS are required for children younger than 8 and between 40 and 57 inches tall. A child who happens to be younger than 8 but greater than 57 inches tall does not need to ride in a car seat, but a child older than 8 who is still below 57 inches should. This ensures that the seat belt comes across their chest instead of their neck. Research confirms that kids ages 12 and under should ride in the BACK SEAT to best avoid airbag injury.

The greatest danger to new teenage drivers—and indeed any driver—is DISTRACTIONS , namely cell phones. Set the example before your adolescent gets behind the wheel by not texting or looking at your phone while driving, and research apps like LifeSaver or DriveSafe Mode that disable or limit phone use in a moving vehicle. Further, parents should support open, calm communication about situations when kids/teens might be a passenger with a distracted driver. Agree to set up alternate transportation or make a plan for how they can reach you if they don’t feel comfortable in someone else’s car.

“The statistics on distracted driving-related accidents and fatalities are frightening, so clarifying the expectations for teen drivers up front—rather than after an incident—is best,” says Dr. Lawrence Jones at East Louisville Pediatrics. “We’re happy to support those conversations when we see your kids for appointments, so feel free to let your pediatrician know if this is an area of concern.”

Finally, support the safety of kids outside your own vehicle. Widespread school closures and reduced capacities meant fewer SCHOOL BUSSES were on the roads in 2020 and early 2021. As more kids return to in-person learning, exercise patience with their transportation. You may be surprised to learn that Kentucky school busses have some of the highest safety standards in the country, but car drivers must do their part to support that safety.

Never attempt to go around a stopped bus or speed past them as they are slowing down and activating their stop signals. If you are going the opposite direction of a bus, you must stop unless the road has a median separation or at least four lanes plus a turn lane in the middle. If in doubt, stop. It’s better to be honked at than risk a child’s safety.

For a breakdown of Kentucky car seat laws, visit https://transportation.ky.gov/HighwaySafety/Documents/childseat_info.pdf

For guidance on purchasing the right car seat, or to find a certified child passenger safety technician in your area, visit https://cert.safekids.org/

For visuals of Kentucky school bus stop laws, visit https://www.education.ky.gov/districts/trans/Documents/Stop%20Laws_ADA_EH.pdf

KNOW WHERE TO GO: Getting Care from Your Pediatrician or an Emergency Room

Sat, 03 Jan 2026 00:59:43 GMT

After a complicated year when most of us questioned even the smallest symptom—a dry cough, a runny rose, an upset stomach—many people are returning to some sense of normalcy. While Covid-19 has taken enormous tolls, several studies indicate that fewer pediatric patients were seen in an emergency room since the pandemic started.

The cause many be attributed to a number of factors, including families trying to avoid additional virus exposure or the overall decline in activity leading to fewer illnesses and injuries, but the fact remains that more kids are staying out of the ER.

While it’s the ideal place for truly emergent problems, ERs have historically been overused. An appointment with your pediatrician may be the better option depending on your child’s symptoms. The table below may be used as a guide to worthwhile ER utilization. You will see that most ER conditions are quite specific, whereas a primary care physician can treat a wide range of issues.

If you’re worried about seeing a physician quickly, you have options for reaching your pediatrician’s office even if they’re closed. Every ONE Pediatrics practice offers online scheduling for sick visits, so you can make an appointment on their website any time. If you don’t see the time slot you need, we encourage you to call so the office can accommodate you.

The best thing about an emergency room is that they’re prepared to treat serious illnesses and injuries as quickly as possible. Otherwise, they can be time-consuming, expensive, and risk of further germ exposure.

“Bear in mind that an ER is not the only place to receive a test or scan that your child might need,” says Dr. Greg Robson at Oldham County Pediatrics. “By contacting your primary care provider first, you give us a chance to make recommendations with your child’s symptoms, history, and insurance coverage in mind. We can also test for Covid-19, getting results faster and reducing the spread for other at-risk patients who truly need the ER.”

The table above is not a complete list of everything your child may experience. When in doubt, a quick call to your pediatrician’s office and/or online appointment request certainly won’t hurt. We’re prepared to advise when an ER visit is appropriate, but there may be a simpler solution for a healthy, happy kid.

Avoiding and Treating Ticks

Sat, 03 Jan 2026 00:55:01 GMT

If your family spends a lot of time outdoors, you probably already know how to remove a tick and treat any bites. But ticks flourish in the summer, so even the occasional hike or weekend by the lake means you should check for these pests in the warm months.

In addition to general unpleasantness, some ticks carry the bacteria responsible for Lyme disease. Though it can be treated with antibiotics, Lyme disease may cause long-term symptoms if left untreated. The first sign of Lyme disease is a localized rash that starts as a reddish circle and expands over time. The rash may be the only symptom, but aches, fever, fatigue and/or swollen glands can also occur.

“If your child has a rash, we encourage you to call your pediatrician’s office,” says Dr. Larry Jones at East Louisville Pediatrics. “Rashes can happen on their own, but they can also be an early warning sign. Always tell us about recent possible causes like insect bites.”

To avoid Lyme disease and ticks in general, some practical tips are listed below:

Ticks do not drop from trees or jump on people. They typically wait in groundcover for a host to brush by them. If you visit a forest, a wooded or marshy area near water, or you walk through long grass, wear socks and close-toed shoes to protect the area where ticks are most likely to latch on. Depending on your activity, you may also consider protective clothing, a hat, and/or pulling long hair into a ponytail.

Insect repellant is effective against ticks and should contain no more than 30% DEET for use on kids. Ticks also dislike some natural smells including lemon and peppermint.

Once you’re inside, do a body check for ticks on yourself and your kid(s). Take time to look at the hairline and scalp carefully, but don’t forget to look everywhere else too.

If you need to remove a tick, do not use a lighter or matches, especially on children. Carefully grasp the head with tweezers and slowly pull the tick straight out. Do not use a twisting or jerking movement. Never crush a tick with your fingers as this will spread bacteria. Once it’s removed, clean the area with rubbing alcohol or soap and water. In the following days, watch for signs of infection or additional ticks.

Vaping: What to Know for Your Family

Sat, 03 Jan 2026 00:52:23 GMT

You’ve probably been asked at almost every physician appointment in your adult life, “Do you smoke?” And if you have an adolescent in your home, you may have noticed that they are asked about smoking habits at well visits. As more and more kids turn to vaping, or “e-cigarette” use, providers are tasked to remind families that any type of nicotine use comes with serious risks.

E-cigarettes, personal vaporizers, vape pens, e-cigars, pod systems, e-hookah, or vaping devices, are products that produce an aerosolized mixture containing flavored liquids and nicotine inhaled by the user. E-cigarettes can resemble traditional tobacco products, or look more like a common gadget such as a flash drive. They are often advertised as a safer alternative to traditional cigarettes, especially since using them indoor is less noticeable.

Since their emergence, vapes have become the most popular nicotine product among teens. Although it’s illegal to sell these products to anyone under 18 years old, they can be ordered online. The liquid solution comes in a number of appealing, candy-like flavors and they’re relatively affordable, especially compared to traditional tobacco products. Despite their popularity, the Centers for Disease Control and the American Academy of Pediatrics agree that there is no safe amount of vaping.

In any form, nicotine is highly addictive. “For the last year, young people have been dealing with unprecedented stressors of pandemic life, and nicotine’s calming “buzz” is attractive for short-term relief,” says Dr. Allgeier at All Star Pediatrics. “Those with weight concerns or body image struggles may also turn to nicotine use for its appetite-suppressing effect.”

Regardless of the reason for use, vaping is risky:

Nicotine can harm brain development and studies show that teens who vape are more likely to use traditional cigarettes in the future.
The liquid solution and vapor from e-cigarettes contain harmful chemicals including carcinogens, which can cause cancer. The secondhand vapor is dangerous to small lungs just like secondhand smoke.
Because vaping is a newer phenomenon, the long-term effects are still unknown. Additionally, COVID-19 is spread via oral and nasal secretions. There are no studies to conclusively show that the novel coronavirus may be transmitted by vaping, but the same respiratory droplets that spread the virus when an infected person is talking, sneezing, or coughing are also exhaled when smoking.
There have been reported incidents of vape devices exploding or causing burns.
Even a small amount of nicotine is extremely poisonous or fatal to children, and vaping cartridges contain a concentrated dose. If a child ingests nicotine in your presence, call Poison Control immediately. Even if they do not swallow it, the chemical can be absorbed through mucus membranes in the mouth just like nicotine gum, or absorbed through the skin like a nicotine patch.

If you or someone in your home, including an adolescent of any age, uses a vaping device, all One Pediatrics providers encourage you to have an honest conversation with your primary care physician about quitting. If you discover that your teen is vaping, your knee-jerk reaction may be to punish or guilt them. Try to express your concern calmly and follow through with a doctor appointment. Acknowledge their reasons for wanting to try/use nicotine in the first place, even if you don’t agree with them. Adults don’t generally respond well to shaming or anger, and neither do teens.

If you do have any type of nicotine product in your home, make sure it is not used indoors, in the car, or around children in general. All products and refills should be kept in a secure place away from curious hands. If accidental exposure occurs, do not wait to contact Poison Control because you’re worried about the consequences or “over-reacting.” Poison Control is a government-funded, highly knowledgeable resource that exists to help.

For more information, visit https://www.healthychildren.org/English/health-issues/conditions/tobacco/Pages/default.aspx

Disordered Eating: Recognizing a Problem and Supporting Proper Nutrition

Sat, 03 Jan 2026 00:51:13 GMT

Fostering a positive relationship with food is a huge parental responsibility from the very start. As soon as solids are introduced, questions of nutrition, allergies or intolerance, and variety loom large, not to mention the worry that comes with having a picky eater.

One dietary concern we often overlook until it becomes a serious problem is disordered eating. Long thought to be illnesses that only affect a small demographic, namely females, contemporary studies confirm that eating disorders may affect girls and boys of any age, race, or background. A recent study from the American Academy of Pediatrics shows the average age for onset of eating disorder symptoms is 12.5.

Eating disorders generally coincide with behavioral health conditions like anxiety and depression. Patients struggling to control their feelings may find comfort in controlling what they eat.

“Physicians at One Pediatrics are consistently addressing the toll of pandemic life on all our patients and especially adolescents,” says Dr. Patrick Hynes at Prospect Pediatrics. “The lack of routine and activity can leave some kids obsessed with food, whether they’re consuming too much or not enough. Social media adds a layer of complexity—we see heavily edited pictures every single day.”

Eating disorders include but are not limited to anorexia nervosa and bulimia nervosa. Anorexia describes a refusal to eat, starving the body of calories and/or over-exercising to lose weight. Bulimia is known as “binging and purging.” Rather than avoiding food, a person with bulimia will eat a large amount in an emotionally-driven “binge,” then “purge,” or forcefully remove the food from their body by means other than natural digestion.

Conversely, binge-eating disorder refers to compulsive over-eating, where patients consume massive amounts of calories without purging or exercising afterward. People who binge often feel guilty afterward but feel unable to control their eating in the moment. You may be familiar with the terms “emotional eating” or “boredom eating,” which imply unhealthy habits not caused by actual hunger.

In 2013, avoidant restrictive food intake disorder (ARFID) also became a defined eating disorder. It refers to limiting food due to concerns other than body image alone, such as extreme “pickiness,” worries about unhealthiness, allergies, or the possibility of feeling sick or choking, or general disinterest in eating. ARFID is challenging to diagnose, but can nonetheless lead to malnutrition or growth concerns.

Listed below are suggestions for addressing food in a healthy way at home:

Use positive language at home. Many adults struggle with body image and talk about themselves poorly. Describing yourself, a spouse, or even strangers with critical words about appearances can make adolescents think that others are speaking badly about them as well. Adults on weight loss journeys can set a positive tone by valuing their nutritional health first and foremost.
Encourage every member of the family to participate in meal planning. Kids can look forward to a dinner of their choice, and teens are granted some autonomy in choosing a meal for everyone. You can plan for a balance of healthy options and fun foods alike, which alleviates some anxiety about what to expect for the day or week ahead.
Try to make eating a matter of routine, not punishment or reward. It’s easy to tempt children with dessert to make them eat their veggies, but habits like this suggest that food is a currency. Adults will often justify “cheat meals” if they’ve exercised or eaten healthy recently, but be careful of encouraging teens to do the same. Food can be enjoyed, of course, but try not to create patterns of “If you do this, you can eat that.”
If you believe your family member is struggling with an eating disorder, work to express your concerns as a matter of overall health, not a number on a scale. Words like “You look too thin” or “you’re eating too much junk” do not address emotional wellness. Reaching a goal weight is only one part of the recovery process.

Unaddressed, eating disorders can have far-reaching consequences. Long-term malnutrition can wreak havoc on bones, teeth, organs, sleep patterns, energy levels, social relationships, mood, and menstrual cycles in females. Your pediatrician can address symptoms and make recommendations for treating the patient, not the disorder.

For more information, visit the AAP’s dedicated resources for families .

Identifying a Need for Behavioral Health Treatment

Sat, 03 Jan 2026 00:47:45 GMT

In recent years, more focus has been directed to the emotional and behavioral needs of pediatric patients than ever. Busy schedules and distressing events compound with the regular challenges of growing up, and some patients experience unhealthy levels of stress.

Parents and caregivers are then faced with the questions of when to intervene and what to do. Your pediatrician is available to discuss any concerns and will help identify the best course of action. While the symptoms listed below can be explained by something other than mental health initially, they all certainly affect well-being in the long term:

Mood changes, including unpredictable mood swings, angry outbursts, or sadness/weeping
Drastic weight loss or gain
Persistent headaches
Abandonment of favorite activities or hobbies
Loss of confidence, low self-esteem
Decline in academic performance
Changes in sleep habits, including excessive sleeping or insomnia
Isolating from friends and/or loved ones

“It’s not abnormal for kids to lose friendships, switch hobbies, or undergo physical changes, especially during puberty,” says Dr. Greg Robson at Oldham County Pediatrics. “Even so, open communication can make a big difference in helping them through complicated times. Maintain an honest, non-judgmental environment, and let them know help is available.”

That help may include seeing a professional, but kids benefit from a “day off,” meditation breaks, exercise, and support from others the same as adults do. Most teens are also prone to experimental phases—while consequences may be appropriate, they should be secondary to safety and wellness. When in doubt, a conversation with your pediatrician can provide reassurance or next steps.

Some behaviors, however, are “red flags” that warrant third-party intervention as soon as possible:

Feelings of worthlessness, hopelessness, or paranoia
Body image obsession, which can indicate an eating disorder and/or body dysmorphia
Recurrent risk-taking behavior, including stealing
Substance abuse, including alcohol, illegal drugs, prescriptions, or OTCs
Self-harm, or a desire to self-harm
Desire to hurt others
Suicidal thoughts or plans

These red flags can quickly spiral out of control. Getting help is also crucial for parents who likely feel overwhelmed or to blame, especially if a mental health disorder is present in another family member. Support is beneficial for the whole family, and it’s understandable if you’re not sure where to begin. Non-threatening communication with your child is the optimal starting point, followed by a conversation with your healthcare provider. He or she can recommend next steps depending on the cause and severity of the problem.

Kids may be secretive if they feel embarrassed, ashamed, or afraid. If they ask for a private discussion with their physician, remember that the goal is to address the problem even if they’re most comfortable sharing details with a non-family member. Your pediatrician is not actively trying to exclude you and will encourage your child to communicate so you can work as a team.

For more information about mental health in pediatric patients, visit https://www.healthychildren.org/english/healthy-living/emotional-wellness/pages/default.aspx

The Importance of a Good Night’s Sleep

Sat, 03 Jan 2026 00:42:38 GMT

Your pediatrician hardly needs to tell you that sleep is valuable for your entire family and especially children of any age. The year 2020 has been many things, but not particularly restful. Stress affects people in different ways, and you may have noticed your child’s sleep has suffered.

This spring, changes to routine including school or daycare closures, social isolation, and worry for friends and family may have triggered regressive behaviors in kids, some instant and others less obvious. Tantrums or defiant attitudes, bathroom accidents, and sleep disturbances are not uncommon—many kids who previously didn’t struggle with these have “backslid.”

As parents and caregivers, we must consider both the quantity and quality of our kids’ sleep: how many hours they get and how well-rested they are. Quantity is easier to measure. The American Academy of Pediatrics recommends the following amounts of sleep per 24-hour period:

Infants 4-12 months old: 12-16 hours (including naps)
Toddlers 1-2 years old: 11-14 hours (including naps)
Preschoolers 3-5 years old: 10-13 hours (including naps)
Children 6-12 years old: 9-12 hours
Teens 13-18 years old: 8-10 hours

Of course, some kids may need more or less sleep than others. Even siblings can have vastly different patterns and needs. The numbers above may surprise you, especially since many parents don’t get the hours they need either. If you notice daytime tiredness, irritability, and/or trouble concentrating, monitoring amounts of sleep is a good place to start.

But what to do if quantity doesn’t seem to be the problem? Unpredictable wake-ups, bedwetting, insomnia, nighttime fears, or other causes of anxiety can all make for a long night. Listed below are suggestions for the whole family:

ENFORCE A ROUTINE. If you’ve identified a recurring nighttime problem, create a routine to address it and stick to that routine. It takes several weeks to establish a new habit, but only a couple days to disrupt it.

Resist the temptation to allow a child to sneak into your bed. This makes it more difficult for them to sleep alone or away from home. Limit fluid intake up to two hours before bed, permitting only small sips of water in a tiny cup. If stress is causing insomnia or oversleeping in the morning, work to identify the cause. Communicate with your child’s teacher(s) if school is creating too much anxiety. Avoid talking about distressing subjects in front of kids unless you’re prepared to explain them in an age-appropriate way.

Keeping a routine falls to [often exhausted] parents, but healthy sleep is something your kid(s) will benefit from for life. If your small child is taking long naps in the afternoon, he or she is probably not getting enough sleep at night. In the moment, you may want as much of that quiet time as you can get, but be aware you might pay for it at night.

TALK WITH YOUR PEDIATRICIAN. Unlike illness, sleep is universal. “We discuss sleep with every patient at every well visit,” says Dr. Eleanor Braun at South Louisville Pediatrics. “Our knowledge comes from extensive training, years of conversations with patients and parents, and personal experience. We strive to have a full picture of your child’s health every year, and that helps us identify sleep disruptors when they come up.” A patient with asthma, for example, may wake frequently if they’re not breathing comfortably during an exacerbation. Your doctor can also provide safety advice for kids who get up during the night, whether they’re conscious or sleepwalking.

If you’re considering giving your child melatonin, an over-the-counter sleep hormone supplement, talk with your pediatrician first. Because it’s available without a prescription, melatonin is not regulated by the FDA and its effectiveness is not guaranteed. Other solutions should be implemented first, like reducing blue light exposure. The wavelength in blue light diminishes the body’s natural melatonin production, according to the AAP.

CONSIDER THE LIGHTING. Our sleep cycles have a strong response to light. Blue light emitted from televisions, tablets, and phones, essentially tricks the body into thinking it’s daytime. This is why even adult physicians advise their patients not to stare at their phones before bed. Ideally, “screen time” should cease at least 1 hour before intended bedtimes to allow the body and mind to relax. Though it’s tempting to let kids watch tv for relaxation, reading a book, listening to soothing music, journaling, or practicing meditation are preferable. Don’t beat yourself up if your bedtime routines aren’t the stuff of parenting magazines: audiobooks and meditation apps exist for a reason.

For younger children with earlier bedtimes, consider turning on as few lights as possible in the home to allow the space to darken naturally as the sun goes down, working in tandem with their natural sleep cycles. Exposure to bright light in the morning will help maintain that rhythm.

CREATE A SAFE SPACE. No matter how hard we try to help our kids relax before bed, sometimes their active minds wander into anxiety, or they wake from a bad dream. When this happens, listen to their worries in a non-dismissive way. It’s easy to feel frustrated when a toddler fears something irrational or an older child brings up a concern seemingly out of nowhere, but allowing them to speak their worries out loud will create a conversation rather than letting their imagination spiral.

If you have a young child with separation anxiety, consider putting a photo near their bed of a happy family memory to help them feel close. Let them know you’ll check on them before you go to bed, and follow through on that promise.

Any number of factors can affect sleep, but modern parents have more resources available to them than ever. As long as you’re prioritizing a safe, peaceful routine, you don’t need to feel guilty for the occasional sidestep.

To read more about sleep-related topics, visit https://www.healthychildren.org/English/healthy-living/sleep/Pages/default.aspx

Does My Child Need a Flu Shot This Year?

Sat, 03 Jan 2026 00:41:03 GMT

As we continue living in the vast shadow of COVID-19, you may be wondering if a flu shot is as necessary this year as usual. Many kids are not returning to a traditional classroom environment, and most extracurricular activities are on hold.

Your pediatricians would like to remind you that a flu vaccine is recommended by the Centers for Disease Control and Prevention and by the American Academy of Pediatrics each year for patients ages 6 months and up, and this year is no exception.

While most children do not suffer from serious complications of COVID-19, they are susceptible to symptoms caused by influenza. Illnesses like asthma can make the flu more dangerous.

“Both COVID-19 and influenza are coronaviruses, so they target the upper respiratory system and cause fevers,” reminds Dr. Maurice Allgeier at All Star Pediatrics. “When the body’s immune response is fighting a virus, it’s more vulnerable to other illnesses. We don’t want to see our patients getting the flu and COVID-19 at the same time. They could become very sick and challenging to treat.”

We have not yet experienced a peak flu season as our medical professionals continue battling COVID-19. By getting a flu shot for every appropriate family member, you’re also doing your part to ease the burden on hospitals. Many children visit the emergency room each year for flu complications, and there’s always a risk of exposure to additional illnesses.

If your child is due for an annual well visit, this is a convenient time to get a flu shot as well. Otherwise, you can make a brief vaccine-only appointment. We know you have options regarding where to get a flu shot for your kids, but your doctor’s office is continuing to adhere to strict sanitizing and safety protocols to provide the safest environment.

For more information on prevention during the 2020-2021 flu season, visit https://www.cdc.gov/flu/prevention/

Why Well Visits & Routine Vaccines Are Important

Sat, 03 Jan 2026 00:37:18 GMT

During the peak months of pandemic life, many kids missed their annual well visit and plenty are still off-schedule. These appointments are important at every age to monitor growth and development, behavioral well-being, and routine vaccines.

From ages 0 to 2, infants and toddlers require a number of vaccines to protect them from harmful illnesses. Ages 4, 11, and 16 are also significant check-up years for vaccination. Many of these vaccines are referred to by abbreviations and/or give protection from more than one illness:

This schedule may be daunting, and none of us like to see our kids squirming with anxiety. “Rest assured that everyone in our practices is compassionate toward our patients and their caregivers,” says Dr. Lawrence Jones of East Louisville Pediatrics. “We wouldn’t recommend any vaccine that we don’t give to our own children. The discomfort is minimal compared to what every shot protects them from, both in childhood and for the rest of their lives.”

A current vaccination schedule is also required for schools, daycares, and many after-school or extracurricular programs. Further, college dorms typically require proof of vaccination against meningococcal disease. The timings for each vaccine are based on how a child or adolescent’s immune system will best respond and be protected at ages when they are most likely to suffer complications. Infants, for example, receive a battery of vaccines because they are more likely to have serious symptoms. It’s an added benefit that they’re protected from these diseases for life once all doses have been properly administered.

Even if vaccines aren’t due this year , well visits provide an opportunity for your physician to check in on growth, vision, emotional wellness, medication, and updates on any chronic or newly-emerging conditions. He or she can also answer questions you or your child have, make recommendations or referrals, and of course, complete a thorough review of physical systems. Well visits are an essential part of healthcare throughout life, and fostering a positive relationship with health will be beneficial as your adolescent becomes and adult.

If more than a year has gone by since your child’s last well visit and you don’t already have an appointment scheduled, now is the time! Many parents check these appointments off their to-do list during the summer, especially if their child will need a sports physical for the upcoming school term. The sooner you schedule, the better! Each ONE Pediatrics practice continues to take every precaution to keep families safe, so any risk of exposure to COVID-19 or other illness is minimal.

For more information on vaccines, including an explanations of what symptoms each virus can cause, visit the CDC breakdowns listed below:

Ages 0-6 Years: https://www.cdc.gov/vaccines/imz-schedules/child-easyread.html

Ages 7-18 Years: https://www.cdc.gov/vaccines/imz-schedules/child-easyread.html

The Importance of One-on-One Time for Teens and their Physicians

Sat, 03 Jan 2026 00:27:13 GMT

Around the time your child starts middle school, your pediatrician will likely request that some part of his or her annual well visit is completed without you in the room. For some parents, this is a reassuring practice, while others may feel ousted from their preteen’s care. Rest assured, this time is not intended to push you out of the loop—quite the contrary, your pediatrician is doing their best to leave no stone unturned.

One-on-one time between adolescent patient and physician is important for multiple reasons:

Teens may have an easier time communicating sensitive information to an objective third party rather than an emotionally-invested family member.
If a problem is identified or disclosed, your pediatrician is equipped to provide treatment, advice, or referrals without bias, meaning parents aren’t alone in finding solutions.
It’s beneficial for teens to take some responsibility for their healthcare so they’ll continue to do so after mom or dad isn’t making their appointments anymore.

A common concern for parents of adolescents is sex education. Under no circumstances is your pediatrician encouraging or making light of sexual relationships while you’re not in the room, and it may not even be a point of discussion.

One-on-one time addresses any number of subjects, including body image, weight or dietary concerns, bullying, school performance, menstrual questions in female patients, stress, anxiety, depression or other negative feelings, and any number of the body changes that come with puberty.

“One on one time with my teenagers allows me to let them know that I am their advocate. It allows them privacy and to establish trust with their pediatrician. Often I am saying the same things as their parents, like don’t smoke or do drugs, but it helps to hear it from an objective person” said Dr. Karen Abrams with Kaplan Barron Pediatrics.

All One Pediatrics practices administer screenings at various stages of development. These surveys help identify specific areas of concern, but it may also be standard practice for your doctor to request that you step out beginning at a set age. If you feel uneasy about this, feel free to ask your office when this begins. They likely have a handout or web page with additional information. Additionally, you may want to let your child know to expect this—they might be more nervous about it than you are!

By supporting your child’s independent interaction with their healthcare professional(s), you’re establishing a precedent that they’re in a safe place and you’ll be a cooperative team member in their care. You can nurture a positive lifelong relationship with healthcare by discussing subjects from the list above at home too. This way, it’s not so foreign to bring them up in a doctor’s office.

Always remember that your pediatrician is uniquely qualified to consider your child’s needs and your family’s. They generally speak to just as many (if not more) parents as patients in a day, and they understand the parenting journey is full of surprises. Leaving the room during your child’s exam need not make you anxious. We hope you’ll embrace this time as a reminder that you’re not carrying the weight of your teen’s health alone.

Athletic Safety

Sat, 03 Jan 2026 00:25:55 GMT

Back-to-school is an exciting time of year: new classes, fresh school supplies, and—for many families—the excitement of sports. Though a big game or new personal best can be a highlight of the year, sports require special attention for optimal performance and fun.

The following advice is vital for a great season:

• Wear proper gear. The importance of safety gear cannot be overstated. There is opportunity for injury in every athletic activity. Contact sports such as football, lacrosse, and any type of hockey require the most extensive protection, and any retailer can provide guidance to first-timers. All running sports require shoes that fit well, provide arch support, and tie tightly to avoid foot or ankle injuries. An often-overlooked piece of gear is a mouth guard, which some players shy away from due to its bulky appearance. But mouth injuries can be painful, expensive to treat, and potentially much more unattractive than a mouth guard, so make sure your child has one for any sport where they’re standard.

• Stay hydrated. Reminding players to drink water may seem unnecessary, but athletes should not wait until they’re parched to hydrate. “Kids need water before, during, and after practices or games to keep their body temperature regulated,” says Dr. Allgeier at All-Star Pediatrics. “Dehydration and heat-related illness aren’t confined to hot days. We have to replace the fluids we sweat out.” Always make sure your child has a labeled water bottle for their activities, and keep sunscreen in their bag if the sport is outside!

• Don’t neglect an injury. If your player gets hurt, he or she may want to play through it, and adrenaline feeds that urge to keep going. Any strain, sprain or hit should be checked out, and if the area feels sore, the player should rest for the duration of the practice or game. If he or she continues to feel pain the next day, call your pediatrician’s office for an appointment or at least instructions to help the injury heal. Head injuries demand particular attention. Concussions may not show symptoms right away, but they can become worse if left untreated. If your child experiences dizziness, headache, lack of coordination, confusion, ringing ears, or loss of consciousness following a head injury, call your doctor’s office immediately for instructions.

• Keep medications at hand. If your child is asthmatic as so many are, ensure they have an inhaler in their athletic bag any time they go to practice or a game. If they have a severe insect allergy and play an outdoor sport, they should keep an Epipen or other epinephrine injection. Lastly, they should always have a way to contact you in case of emergency.

• Don’t forget mental wellness. Though sports are fun and healthy, they also put added pressure on kids to perform at their highest level. Many eyes are watching them win or lose, competition runs high among players on the same team, and they have other responsibilities to manage. If your athlete feels overwhelmed by stress, or their sport makes them feel more anxious than excited, acknowledge the need for balance. Let them know you don’t want them to feel upset by their extracurricular activities, and ask what they might need to feel more in-control. Your One Pediatrics physician wants your child to have a great school year whether they’re an athlete or not. Always feel free to address school or activity-related issues with your pediatrician

Why should I vaccinate my child against HPV?

Sat, 03 Jan 2026 00:24:10 GMT

At every well visit, most kids are anxious to know, “Do I need shots today?!” As a caregiver, you may have a hard time keeping track of a full immunization schedule yourself, especially vaccines that aren’t mandatory.

Initially approved by the FDA in 2006, Gardasil 9 is so named because it protects against nine types of human papillomavirus (HPV). The CDC recommends vaccination at age 11 or 12, but it’s indicated for ages 9-26 and FDA-approved all the way to age 45. While it may feel awkward to consider your child’s long-term sexual health at a young age, Gardasil 9 is more about cancer prevention than anything else. Listed below are answers to common questions that we hope will assist your decision:

What is the vaccine for?

Gardasil 9 protects against HPV types 6, 11, 16, 18, 31, 33, 45, 52, and 58. Seven of these types can cause cervical, vaginal, and vulvar cancers in females, penile cancer in males, and anal cancer in females and males. The remaining two types can cause genital warts in both sexes. In 2020, vaccine’s approval was expanded for prevention of oropharyngeal, head and neck cancers.

“Head and neck cancers are among the fastest rising cancers in young men, and the majority are caused by the HPV virus,” says Dr. Lawrence Jones at East Louisville Pediatrics. “There are approximately 18,000 new cases annually in the U.S., mostly in males. Gardasil is critical in protecting your children from this type of cancer.”

While these cancers aren’t always caused by HPV, approximately 70% of vaginal cancer cases and up to 90% of anal cancer cases are HPV-related. A pap smear, or pap test, only checks for cervical cancer. Even with screening, the CDC estimates that HPV causes 10,8000 cases of cervical cancer per year in the U.S.

Why are we talking about sexual health while my child is still so young?

As with any vaccine, Gardasil 9 is best given before the recipient is exposed to the virus. HPV is estimated to be the most common sexually transmitted infection in the United States, affecting millions of women and men every year. The virus usually has no signs or symptoms, so a carrier may spread it to others without knowing. HPV can clear on its own, but there is no way to predict who will or won’t clear the virus, and there is no treatment available to make it go away. Aside from cancer and genital warts, HPV can be responsible for uncomfortable diagnostic testing and fertility problems. If you’re considering delaying the vaccine until your child is older, note that for ages 15 and up, the vaccines are administered in a 3-dose series over 8 months compared to only 2 doses over 6-12 months for ages 14 and under. The 2- or 3-dose series must be completed for optimal protection.

What if my child thinks it’s OK to have sex just because they got the vaccine?

According to the CDC, studies show that getting the HPV vaccine doesn’t make kids more likely to become sexually active. “Getting the vaccine is not about avoiding the consequences of sex—it’s about protection from cancer,” says Dr. Jones. Every physician at One Pediatrics is mindful to explain the vaccine’s benefits from this perspective.

Is Gardasil 9 safe?

Yes. The vaccine is FDA-approved and CDC-recommended. It is not possible to get HPV or any disease caused by HPV from Gardasil 9. Patients who have had a previous allergic reaction to a dose of Gardasil or Gardasil 9 should not repeat a dose, nor is it safe for anyone severely allergic to yeast. The same vaccine is used for both females and males.

Your doctor is happy to answer additional questions about Gardasil 9 or HPV, as well as any vaccine you’d like to know more about. Consider HPV vaccination like any other shot protecting your child from illness.

For more information, visit https://www.cdc.gov/hpv/hcp/vaccination-considerations/talking-with-parents.html

Pediatric Healthcare and the Internet: Why There’s No Substitute for Your PCP

Sat, 03 Jan 2026 00:22:46 GMT

With boundless health-related information seemingly available at your fingertips, it can be tempting to rely on the Internet and social media for pediatric advice. Well-intentioned but busy parents may find themselves Googling lists of symptoms, but never-ending search results make it even harder to reach a diagnosis. For everything from small wounds to nasty viruses, there’s just no substitute for your primary care provider.

“We understand that parents want fast answers to whatever is making their child uncomfortable, but we often see that the overload of information creates unnecessary worry,” says Dr. Patrick Hynes of Prospect Pediatrics. “Our years of experience and established relationships with our patients allow us to make sound judgment calls and put minds at ease.”

Popular health web sites can be misleading, and many aren’t tailored to the unique needs of pediatric patients. What’s safe for an adult may be cause for concern in a child, or vice versa. It can be difficult to identify scientifically-based information on biased web pages, and parents are often racked with fear from sensationalized sites.

Additionally, the rise of “mom groups” and other social media-based resources allow you to get opinions from other parents, but everyone’s experiences are different and these are opinions. Many of these groups now prohibit posts seeking medical guidance for the exact reason that a child could be endangered by incomplete advice. Social media groups are best utilized as resources for community engagement and can offer emotional support for caregivers of children with chronic illness, special needs, or dietary restrictions.

If you do decide to venture online, you can express your concerns to your pediatrician. He or she can offer peace of mind or next steps depending on your child’s needs, and you won’t be judged for being a parent in search of answers. Providers respect your time and the effort you made to attend an appointment, and they want you to get the most out of it.

But your doctor’s office isn’t limited to face-to-face visits—they employ experienced triage staff to answer questions and determine if a visit is necessary. You can ask about symptoms, injuries, medications, and lab results, among other things. All ONE Pediatrics practices offer extended hours, and calls are answered 24 hours a day. When in doubt, call.

The following web sites are recommended for accurate, reliable health information:

The American Academy of Pediatrics: www.aap.org

The Centers for Disease Control: www.cdc.gov

Understanding Your Insurance Benefits

Sat, 03 Jan 2026 00:21:46 GMT

Along with celebration and a resolution or two, a new year means a refresh on your health insurance. Whether your employer has kept the same insurance or you recently participated in open enrollment on the state exchange for the first time, we encourage you to know your benefits and make the most of them.

Reviewing your health plan early in the year can help to financially plan for any upcoming medical services. Here are a few tips for balancing costs and ensuring you receive the best care:

Which services are free?

Most health insurances fully cover an annual well visit for anyone on the plan. This is a free opportunity to talk to your pediatrician about any changes or concerns. Schedule your check-ups well in advance to have a better chance of getting a time that works for you. You may also consider keeping a list of questions for the doctor in the days prior to the visit. When making the appointment, feel free to ask if any vaccinations will be administered so you can prepare yourself and/or your child. Your insurance may require that each annual well visit is at least 365 days apart for it to be fully paid. Before you make an appointment, find out if your plan uses this rule, or if a well visit can be any time during the new calendar year.

Know your copay costs and deductible.

What is your copay (the amount you pay up front) for a sick visit? Knowing this information before your child is feeling unwell will help avoid confusion at the check-in desk. Keep in mind that copays can vary for a sick visit to your pediatrician, a visit to a specialist such as an allergist or behavioral health professional, or a trip to urgent care. Generally speaking, primary care settings are the most cost-effective. Even the simplest of emergency room visits can cost hundreds of dollars. Unless your child is exhibiting serious symptoms, call your doctor’s office first to see if they can treat the problem. Insurance companies also closely track their members’ medical expenses to set premium costs and coverage limits in subsequent years. It’s also helpful to keep track of your deductible and out-of-pocket maximum. If you pay for services throughout the year and reach these amounts, you may be able to squeeze in additional in-network services at no cost at the end of the calendar year, such as allergy testing or a multi-month medication supply. Keep in mind that many employers only offer high deductible health plans in today’s expensive market, which keep your monthly premiums low but set your deductible high.

Know your medication costs.

Even if you keep the same health insurance year to year, prescription costs may have changed. Find out what you can expect to pay for your daily prescriptions, and if you find that any medication is outside your budget, call your doctor’s office right away. They will work with you to get medicine you can afford. It’s much better to get a slightly different prescription than to not take a medication at all.

Find out who is “In-Network.”

Insurance companies use networks of preferred physicians and facilities. Any time you get new insurance, or if you’re looking for a new plan, the first thing you should do is find out if your PCP is in-network and whether your doctor accepts that insurance. Usually, you can look up your network on your health plan’s web site and set up access to a subscriber portal. If your insurance has changed, you should also call your doctor’s office as soon as possible to provide updated information.

When in doubt, ASK.

The back of your insurance card will include a member services phone number you can call with questions. Alternatively, many insurance companies provide a messaging function on their member web portals where you can ask non-urgent questions about your coverage. Always keep your insurance card with you as you never know when you might need it. You can also snap a picture of the card on your phone to use in a jam.

Understanding your insurance will make a big difference when someone in your family is in need of health services. Your ONE Pediatrics practice and physicians want you to receive the best and most efficient care, with as little headache as possible.

One Pediatrics is a medical group comprised of highly esteemed physician-owned private practices specializing in pediatric care in the Kentuckiana region. To date, there are seven affiliated groups with ten locations: All Star Pediatrics, East Louisville Pediatrics, Kaplan Barron Pediatrics, Oldham County Pediatrics, Prospect Pediatrics, South Louisville Pediatrics and Springs Pediatrics. We are the first in the Louisville area to achieve Level 3 Patient-Centered Medical Home designation. For more information about our growing medical group visit https://onepediatrics.com

When To Take Your Child to The ER

Sat, 03 Jan 2026 00:20:01 GMT

It’s a familiar scene to many parents—that agonizing moment, perhaps late at night, when your child is miserable, you’re exhausted, and you’re trying to decide if a trip to the emergency room is necessary.

While it’s a great solution for truly emergent problems, ERs are often overused. A 2018 report compiled by the Healthcare Cost and Utilization Project (HCUP) states that there were 30 million emergency room visits for children under 18 in 2015, and almost 97% of these were “treat and release,” meaning patients did not require care beyond the ER. An appointment with your pediatrician may be the better option depending on your child’s symptoms. Consider the following the next time you’re wondering where to take a sick or hurting child:

Emergency Rooms should be reserved for serious conditions.

Your pediatrician understands that nothing compares to a worried parent, but the ER should not be used as a first resort unless absolutely necessary. The table below may be used as a guide to worthwhile ER utilization. You will see that most ER conditions are quite specific, whereas a primary care physician can treat a wide range of issues.

Focus on Mental Wellness

Sat, 03 Jan 2026 00:19:11 GMT

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You probably know what to expect when it comes time for your child’s annual well visit: height and weight measurements, timely vaccines, nutrition counseling, and possibly a physical. As primary care physicians, pediatricians are charged with the head-to-toe wellness of their patients. That means that now—more than ever—providers are better addressing mental health as routinely as physical health.

According to the American Academy of Pediatrics, about 1 in 5 children and adolescents in the United States have a diagnosable mental health disorder that interferes with daily functioning and requires help. The National Alliance on Mental Illness says that half of these mental health conditions develop by age 14, and 75% by age 24.

In 2018, a youth-led research group called StAMINA (Student Alliance for Mental Health Innovation and Action) presented their Kentucky-based research conducted under the guidance of professionals at the University of Louisville. Across 9 youth focus groups, they found that prominent stressors include:

• Time pressure (Struggling to balance too many responsibilities)

• Academic concerns

• Social pressure to “fit in,” and social media setting unrealistic standards

• High expectations to succeed

• Uncertainty about identity and plans for the future

To cope, some young people may turn to damaging mechanisms like self-harm or substance abuse. Even if they don’t attempt these risky behaviors, ignoring their struggles can be just as harmful. Young people may fear that if their issues are revealed, they may face a lack of support in the form of a “what’s wrong with you?” attitude or expectations to “get better” that don’t align with their own goals. Further, parents themselves report a fear of being labeled “bad parents” if their child has mental health issues.

Pediatricians can serve as a first line of assistance for kids and parents alike. They offer a familiar, trusting setting with a professional who has (likely) known your child for an extended time. As someone knowledgeable about their long-term health and development, your pediatrician is prepared to identify changes in behavior or make effective referrals. Parents and guardians should feel free to discuss mental, behavioral, or emotional concerns as readily as physical ailments.

“We see kids struggling with stress and depression each day, and parents are often at a loss for how to support their child,” said Dr. Terence McKenna, Board Certified Pediatrician at Prospect Pediatrics, a division of ONE Pediatrics. “The good news is, having an open dialogue with your child’s pediatrician is an excellent first step in dealing with the pressures of childhood and adolescence. Parents should absolutely talk about their concerns with their pediatrician. Together they can develop an approach or even a care plan, if needed.”

It’s important to note that children and adolescents are supposed to experience a range of emotions as they develop. It’s normal for them to feel sad, anxious, or even depressed in the face of challenging life events. Having open conversations about emotional well-being even when they’re doing well opens the door for them to be more transparent when something is wrong. Open conversation, exercise, meditation and social activities are all positive coping mechanisms for the tough days, and making time to slow down and release the mental load deserves a regular place on the list of priorities.

-END-

Different But The Same by David Katz, MD

Sat, 03 Jan 2026 00:14:18 GMT

Different But The Same by Dr. David Katz from Kaplan Barron Pediatric Group

Recently, Alex Rodriguez, the often injured New York Yankees third baseman, has started working with a new athletic trainer. Instead of focusing on his hip, to the surprise of many fans, Dr. Mike Clark instead treated his whole body. He explained his approach to the problem this way: “We look at the body as an integrated unit…(and) retrain the entire body.”

Children with special needs likewise have to navigate the same broad developmental stages as all children.

A parent of an 18-month-old child with a significant speech delay has recently been getting calls from the daycare teacher, that their previously loving child is now pulling his friends hair, hitting them and then grabbing their toys.

Not infrequently, a distraught mother of a 13 year seventh grade boy with ADHD (Attention Deficit Hyperactivity Disorder) will come to speak with me about his unexpectedly difficult year at school. Her son is forgetting his homework, or books, not completing his work, talking more, becoming the class clown, and talking back to his parents at home. As a result, his grades are dropping and the teachers are frantically contacting the parents about his recent poor overall school performance.

A father of a 15 year old boy, with developmental delays, tells me that his son is telling all his friends at school that he is going to “get someone pregnant”. His father is very upset and embarrassed about this behavior.

The key to understanding these situations was taught to me by one of my mentors in developmental and behavioral pediatrics, Dr. James Kavanaugh child psychiatrist at the University of Virginia. Parents often feel that their child’s behavior is due to their longstanding developmental issues. In reality, however, normal developmental milestones occur in a child with learning differences, just like any child. These developmental paths are shaped by the child’s limited ability to respond to these challenges.

The toddler mentioned above is in the normal stage of increased aggressiveness and attempts to assert himself. Toddlers are well known to hit and bite each other to get what they want. When a child with speech delays reaches this stage, his or her inability to express desire leads to frustration and therefore increasingly aggressive behavior.

All 13 year old boys are a puddle of hormones. Or as one of my pediatric partners has said, their blood flow goes to other areas than the brain. All pubertal preteens and teens struggle to stay focused on their school work, when changes to their bodies and minds serve as major distractions. I refer to the concurrent drop in school performance, maybe less eloquently stated, as an academic brain fart. An older teen, looking back at her early teens, told me, “Our bodies were changing and we didn’t know what to do about it.”

Superimpose this normal development phase onto a 13 year old with ADHD and you can understand why he would be having an extraordinarily difficult year at school.

In high school, sexuality is even more overt. Kids want to be accepted and to be “popular”. A student who is not socially adept will often suffer with issues of low esteem. In an attempt to compensate he might make statements filled with bravado to overstate his acceptability or attractiveness, as the 15 year old teenager mentioned above.

Children with special needs have unique hurdles to surmount, but also experience the same developmental challenges as their peers. It can be a special challenge for parents, teachers and caregivers of these children to resist solely viewing these kids through the “special needs lens.” Rather, one must look at these challenges as the interaction between their special needs and normal stages of development.

Parenting any child is a contact sport!

David S. Katz, MD
Kaplan Barron Pediatric Group
http://www.kaplanbarron.com

other related sites

Best Buddies Kentucky
http://www.bestbuddieskentucky.org/site/c.khLLKTPGLuF/b.5273969/k.BFD4/Home.htm

The Council on Developmental Disabilities
http://www.councilonmr.org

Kids Center for Pediatrics Therapies
http://www.kidscenterky.org

American Academy of Child and Adolescent Psychiatry
http://www.aacap.org

Get your flu shot

Sat, 03 Jan 2026 00:10:16 GMT

It's time to come in for your flu shot. Call your provider today.

Find Help in Your Area

implementation@officepracticum.com (Graham Daugherty) — Mon, 06 Jan 2025 18:53:35 GMT

Find food assistance, help paying bills, and other free or reduced cost programs in your area.

Visit the Find Help web site and enter your zip code to find assistance in your area for:

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Visit FindHelp.org to get started!

Learn more about FindHelp .

Welcome To Our Practice News

implementation@officepracticum.com (Graham Daugherty) — Thu, 02 Jan 2025 18:40:24 GMT

Hello, parents, caregivers, and all those invested in the well-being of our little ones!

We are thrilled to provide Practice News on our website. We understand the unique joys and challenges that come with raising healthy, happy kids. Through our news section, we aim to provide valuable insights, practical tips, and advice to empower parents in making informed decisions about their children's health and well-being.

With years of experience in pediatric medicine and a dedication to promoting child wellness, we are here to guide you through every stage of your child's development.

Please check out our Resources section for more information or contact us with any questions!