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Dayton Children's Growing Together Newsletter Fall 2012

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  • Vol. 36, No. 3

    Dont get bit by the flu bug (Page 2)

    Safe teething remedies (Page 3)

    Recovering by leaps and bounds after knee surgery (Page 6)

    News for Families

    Elbow surgery didnt

    sideline quarterback

    Kenyon Watson for

    long, thanks to the

    expert care he received

    at Dayton Childrens.

    Sports injury benefits from quick, specialized careKenyon Watson, 13, the eighth-grade quarterback at Tecumseh Middle School, thought it would be a good idea to join the wrestling team as a way to stay in shape in the football off-season. To an all-around athlete like Kenyon who competes in football and track, his first wrestling match should have been an uneventful day.

    His dad Kolby Watson was in the stands when Kenyon went down. It looked like he had landed funny, and when he didnt get up right away, I hurried to his side thinking he had dislocated his elbow, Kolby recalls. When I saw his arm, I knew it was probably something worse.

    Continued on page 4

  • Kids dont understand the dangers of playground equipment, says Thomas Krzmarzick, MD, medical director of the Soin Pediatric Trauma and Emergency Center at Dayton Childrens. To them a playground is all fun and games. It is important to remind

    your child of the correct way to use equipment and explain what could happen as the result of unsafe play.

    Six safety tips:1. Make sure the playground equipment is inspected frequently and kept in good repair.2. Remove head and neck drawstrings from childrens clothing.3. Do not allow kids to wear helmets, necklaces and scarves or carry purses or backpacks while on playground equipment.4. Keep kids from pushing, shoving and crowding on or around equipment.5. Keep toddlers younger than 5 years old in a separate play area. Leave big equipment for big kids.

    6. Make sure playground surfaces are protective, energy-absorbing materials, such as shredded rubber, wood chips, wood fiber, etc.

    This information is brought to you through a partnership with Kohls A Minute for Kids campaign. Since 2000, Kohls Department Stores has donated more than $1,527,629 to Dayton Childrens through their Kohls Cares program.

    The flu season is October until May, with the highest peak from late December to early March. The most important protection against the flu is to get a flu vaccine.

    Who needs a flu vaccine?Sherman Alter, MD, director of infectious disease at Dayton

    Childrens, recommends all children age 6 months to 18 years old receive a flu vaccine, with an emphasis on vaccinating children age 6 months to 5 years old. The flu vaccine is the best way to prevent the flu, says Dr. Alter.

    Knowing the difference between the flu and a common cold can

    sometimes be tough. Heres a general rule of thumb:

    Flu symptoms: High fever, chills, muscle aches, headache, loss of appetite, cough (sometimes severe), exhaustion and sore throat.

    Cold symptoms: Low fever (if any), runny nose, little coughing; childs appetite and energy level are usually not affected.

    In addition to getting a flu vaccine, practicing good hygiene especially hand washing helps prevent getting or spreading the flu. Children should use soap and water for 15 to 20 seconds, long enough to sing Happy Birthday twice. The seasonal flu vaccine is now available. Schedule an appoint-ment with your pediatrician or family doctor today.

    Dont get bit by the flu bug!2

    XX%

    Cert no. XXX-XXX-XXXX

    XX%

    Cert no. XXX-XXX-XXXX

    Growing Together is published quarterly for parents and families in the Miami Valley area by The Childrens Medical Center of Dayton. The purpose of Growing Together is to show how Dayton Childrens and families are working together to keep all children healthy and safe. Additional copies of Growing Together are available by writing to Dayton Childrens, c/o Marketing Communica-tions, One Childrens Plaza, Dayton, Ohio, 45404-1815 or by calling 937-641-3666. Your suggestions and comments are also appreciated.

    For more information: 937-641-3666 childrensdayton.org

    Playing it safe at schoolcontinued from back cover

    Scan this symbol with your smart phone to read more.

    Scan this symbol with your smart phone to read more.

  • Have a safe and spooktacular HalloweenTrick-or-treat is right around the corner, and while kids are focused on begging for candy and the excitement of the holiday, parents should be focused on safety. On average, twice as many kids are killed while walking on Halloween compared to other days of the year.

    Top safety tips Dayton Childrens and Safe Kids Greater Dayton recommend:

    Use the buddy system, and make sure an adult is with children younger than age 12. Have older kids go in a group and stick to a predetermined route with good lighting.

    Cross the street safely at corners, using traffic signals and crosswalks. Kids should look left, right and left again when crossing and keep

    looking as they cross. Urge kids to walk, not run, across the street.

    Walk on sidewalks or paths, or if there are no sidewalks, walk facing traffic as far to the left as possible. Children should walk on direct routes with the fewest street crossings.

    Slow down and stay alert, watching for cars that are turning or backing up, and never dart out into the street or cross in between parked cars.

    Costumes can be both creative and safe, but should have reflective tape or stickers on costumes or bags. Masks can block a childs vision, so choose nontoxic face paint and make-up instead. Have kids carry glow sticks or flashlights to see better, as well as be seen by drivers.

    Benzocaine is a local anesthetic found in over-the-counter products commonly used to soothe teething pain. You may know these products as Baby Orajel, Orajel and Anbesol.

    A rare but serious condition called methemoglobinemia can occur after using benzocaine just one time or after several uses. In severe cases, it can lead to death. The Federal Drug

    Administration recommends that benzocaine not be given to children under the age of 2 unless directed to by a health care professional.

    Fortunately, there are other things parents can do to ease their babys teething pain, says Stacy Roehrs, clinical

    pharmacist, Dayton Childrens.

    Four ways to ease teething safely:1. Use a teething ring chilled in the refrigerator.2. Gently rub or massage the infants gums with your finger.3. Give baby a clean, frozen washcloth for chewing.

    4. Infant Tylenol (acetaminophen) may be useful for nighttime pain.

    If you are using benzocaine for your babys teething pain (under a doctors supervision) or for an older childs mouth pain, be aware of the symptoms that something could be wrong:

    pale, gray, or blue-colored skin, lips and nail beds

    shortness of breath fatigue confusion headache lightheadedness rapid heart rate

    Methemoglobinemia is rare, but is very serious, Roehrs says. If you notice any of these symptoms, get medical help immediately.

    Caring for baby: Safe teething remediesh

    ealthbeat

    3

  • 4Quarterback Kenyon Watson is back in the game after elbow surgery at Dayton Childrens.

    Because kids

    heal very quickly,

    a growth plate

    injury not treated

    correctly can

    heal improperly,

    causing the bone

    to end up shorter

    than normal or

    be abnormally

    shaped, explains

    James T. Lehner,

    MD, Kenyons

    orthopaedic

    surgeon.

    A day of firstsThe coaching staff called 911 and first responders were soon at his sons side. The squad members responding

    were not authorized to give pain medications, so Kenyon was in a lot of pain by the time we arrived at Dayton Childrens, says Kolby.

    When children suffer an injury to an arm or leg, its important they are evaluated quickly by a pediatric specialist, usually an orthopaedic surgeon, to make sure the growth plate is not damaged. Growth plates are the developing tissues at the end of long bones that grow in length. When a childs bones have completed growing, the growth plates harden and cause the two parts of a long bone (the epiphysis and the metaphysis) to fuse together, forming a complete bone.

    Dana Drazner, MD, an emergency care physician, met Kolby and Kenyon soon after they arrived at the Soin Pediatric Trauma

    and Emergency Center at Dayton Childrens.

    She immediately

    asked Kenyon how he was doing and assessed his pain.

    Kenyons mother Heidi, who is a nurse, received a call from her husband while she was still at work. As a mom and a nurse, I was upset, concerned, scared and my husband, who had witnessed Kenyons injury, was sick with worry, she recalls. Kolby remembers that he was in worse shape than Kenyon, who handled his injury and pain pretty well.

    Kolby and Heidi have both experienced long waits in emergency departments at adult hospitals, but that was not the case when Kenyon was brought to Dayton Childrens.

    We were so impressed with the care Kenyon received. After he got back to a treatment room, people were checking on us often to make sure everything was okay. Kenyon was treated like a king.

    Dr. Drazner and one of Dayton Childrens orthopaedic residents ordered an x-ray and after seeing the injury in more detail, requested a CT scan to get a better look. A small piece of bone part of the growth plate had broken off and

    was trapped in the joint. The orthopaedic doctor

    at the time explained that Kenyon would need surgery to remove this bone fragment (about half the size of a marble) so the elbow could be returned to its normal position and said that a surgery team could be ready to go that evening. He called one of Dayton Childre