Expanded Office Hours
Blue Santa

line

Now is the time to schedule back to school exams and catch up on any missing shots. Remember, Effective August 1, 2009, kindergarten and 7th grade entries have changes to their immunization schedule. (Treehouse has been offering the Hep A series to all older kids and now give it routinely at ages 12 months and 18 months. We have also been encouraging all older kids to get their 2nd Varicella vaccine and routinely give the Menactra and Tdap at the 11 year well checks.)

Also, it’s important that all girls who have begun their Gardasil vaccination series complete the recommended 3 dose schedule. The second dose is recommended two months after the first and the third dose is recommended four months after the second. If it has been longer than the recommended times, it is still appropriate to continue the series as it does not need to be restarted.
Treehouse Pediatrics recommends that all girls 11 years of age and older receive vaccination against human papilloma virus.

 

 

back to top

 

Within the next few weeks we are hoping to launch our new patient portal. This will provide another opportunity to communicate with our staff at your convenience! Enhancements will include: pre-registration, insurance/demographic changes, pay bills online, view lab results, and even submit questions!

 

The lazy, hazy, crazy days of summer have arrived. Before you and your family head out this summer, plan to have a safe, great time by reviewing the following tips from your friends at Treehouse Pediatrics:

Water, water everywhere!

While there are no specific guidelines on the amount of water recommended for children, it is a good rule to drink throughout the day, not just when thirsty. Teach children to reach for water before soda or juice, and remember that they will need more water when it’s hot outside and when they’re engaged in physical activites, including swimming. They can become dehydrated quickly when hot and playing in the sun. If kiddos are outside during the heat of the day (i.e., between 10 AM and 7 PM), have plenty of water available, and make sure they take frequent breaks in the shade or the cool of the house. Remember – infants under 6 months of age do not need water, as they are getting all of their hydration from breast milk or formula, and they should not be outside for long periods of time during heat waves.

 

Sun, sun, sun... here it comes!

In planning your summer activities, don’t forget sun protection! This includes hats, sunglasses, protective clothing, and sunscreen. The sun’s energy is composed of ultraviolet light A (UVA) and ultraviolet light B (UVB). When ultraviolet light enters the skin, it causes visible and invisible damage. Sunburn, tan, and freckles are signs of immediate injury from the sun. In fact, it is estimated that 80% of lifetime sun exposure occurs before the age of 18. Here are some sun-safety tips for protecting your family:

Avoid exposure between 10 AM and 4 PM, when the sun is most intense.
A sunscreen with a protective factor (SPF) of 15 or greater will help prevent the damaging effects of sun exposure. The higher the SPF, the greater the protection, allowing more hours between reapplication. Be sure to use a “broad-spectrum” sunscreen that blocks both UVA and UVB rays.
Sunscreens are safe for use in children 6 months old and older. Infants younger than 6 months should not be using sunscreen – merely because they should not be directly exposed to sun, especially in hot Texas summers. Their ability to regulate their core body temperature is still immature.
Use enough sunscreen to cover all sun-exposed areas – don’t forget ears, nose, lips, tops of feet, and behind the knees. Do not put sunscreen on eyelids. Sunscreens come in a variety of forms – lotions, creams, gels, sticks, and sprays – and are well suited for a variety of applications.
Apply sunscreen at least 30 minutes before every exposure. While traditional recommendation has been to reapply every two to three hours, some evidence suggests that reapplication as soon as 20 minutes after initiation of UV exposure, largely to compensate for inadequate initial application, may offer greater protection. Sunscreens that are not water-resistant or waterproof are typically less adherent to the skin and require more frequent application. It is important to remember to apply even on cloudy days, and especially after exposure to sand and water.
We do not recommend combination sunscreen and insect repellant products. Sunscreen needs frequent reapplication, and insect repellant lasts several hours.
Teach your children to SLIP, SLAP, and SLOP – slip on a shirt, slap on a hat, and slop on some sunscreen!

If your child should sustain a sunburn, there are no proven remedies to reverse damage or speed healing. Symptomatic relief can include moisturizing lotions, cold compresses, ibuprofen or acetaminophen in proper doses for your child’s weight, cool baths, and loose, cool clothing. Oral antihistamines can help with the itching that typically accompanies healing. Your child should not be exposed to the sun again until the sunburn has healed. If your child has large areas of sunburn, or blistering to the skin, they should be evaluated in the office.

 

Mosquitos and ticks and fleas, oh my!

Insect repellant comes in many different effective forms, including aerosol sprays, liquids, creams, and sticks. DEET is the best defense against biting insects and lasts from three to eight hours, depending upon the strength present in your product, which can vary from ten to thirty percent. The American Academy of Pediatrics recommends that insect repellant applied to children contain no more than 30% of DEET. Some helpful hints:

Apply insect repellant to exposed skin and clothing only. Do not spray repellant onto your child’s face; rather, apply with your hands, avoiding eyes and mouth.
Other chemical products such as citronella, cedar, eucalyptus, and soybean are less effective than DEET, lasting only two hours or less, and do not repeal ticks.
Do not apply insect repellant to broken skin.
After a day outside, a shower or bath will remove remaining traces of bug spray, sunscreen, and pollen from your child’s skin. Wash the clothes that you have sprayed with insect repellant before wearing them again.

 

Creepy Crawlies

After a day outside, inspect your child’s skin carefully (bath time is the perfect time to do this) for evidence of ticks.

The proper way to remove a tick is to use a set of fine tweezers and grip the tick as close to the skin as is possible. Do not use a smoldering match or cigarette, nail polish, petroleum jelly (e.g., Vaseline), liquid soap, or kerosene because they may irritate the tick and cause it to behave like a syringe, injecting bodily fluids into the wound.

The proper way to remove a tick is to use a set of fine tweezers and grip the tick as close to the skin as is possible. Do not use a smoldering match or cigarette, nail polish, petroleum jelly (e.g., Vaseline), liquid soap, or kerosene because they may irritate the tick and cause it to behave like a syringe, injecting bodily fluids into the wound.

The proper technique for tick removal includes the following:

Use fine tweezers to grasp the tick as close to the skin surface as possible.
Pull backwards gently but firmly, using an even, steady pressure. Do not jerk or twist.
Do not squeeze, crush, or puncture the body of the tick, since its bodily fluids may contain infection-causing organisms.
After removing the tick, wash the skin and hands thoroughly with soap and water.
If any mouth parts of the tick remain in the skin, these should be left alone; they will be expelled on their own. Attempts to remove these parts may result in significant skin trauma.

If the tick is NOT attached to your child’s skin (i.e., walking on it), then it cannot cause disease. After removing a tick from your child, it is helpful to keep the tick (i.e., in a plastic bag) and note, if possible, how long it was attached and if it was engorged at the time of removal. Any child with a history of tick bite exposure and subsequent rash should be evaluated in the office promptly.

The above brought to you by your friendly PNP, Jen, who, during her summers in West Texas, dodged grapefruit-sized hail, watched tornadoes standing in the back of a pickup truck, and had more tick/mosquito/chigger bites and sunburns than she can say. She does not recommend trying any of those things at home. : )

 

Milk can become homemade ice cream in five minutes by using a bag! This homemade, creamy treat is a summertime delight for kids and adults alike.

 

Ingredients:
1 tablespoon sugar
½ cup milk
¼ teaspoon vanilla
Optional – 1 tablespoon of cocoa
6 tablespoons rock salt
1 pint-size plastic food storage bags (e.g., Ziploc)
1 gallon-size plastic food storage bag
Ice cubes

 

How to make it:

Fill the large bag half full of ice, and add the rock salt.
Put milk, vanilla, sugar and cocoa into the small bag. Seal the bag.
Place the small bag inside the large one, and seal it carefully.
Shake until the mixture is ice cream, which takes about 5 minutes.
Wipe off the top of the small bag, and open carefully. Enjoy!

Suggestions: use a timer so the little ones can see an end in sight to the shaking of the bag. Also, you can wrap the bags in a kitchen towel to protect the hands from getting too cold. After shaking is complete, you can store in the freezer for a few minutes to “cure”.

 

 

 

 

Get reading this summer with the Round Rock Public Library’s Summer Reading Program, “Deep in the Heart of Texas!” Starting June 10, this program is not only a great way for kids to keep up with their reading skills, but to reinforce the importance of reading and literacy for the whole family. In this program, readers of all ages are encouraged to log the time they spend reading for prizes and rewards. Whether its books, magazines, newspapers or even books on tape, you can count your time spent reading, and earn incentives for different levels. Even children who can’t yet read can participate when someone reads to them. To get started, simply pick up a reading log at the library. Then, read for 5 hours, bring the reading log back and receive a certificate and coupons.
Visit: http://www.roundrocktexas.gov for more information. 

 

June 21st – Father’s Day

 

July 3rd, 4th, 5th – Office will be closed

 

We will re-open normal business hours on Monday, July 5th at 8:00AM. For medical concerns or questions, you may visit the "symptom check" on our website or call the after-hours triage service at 1-866-496-1477.

 

Reminder, there is a $13 fee for after hours phone calls, but this fee will be waived if you seek urgent or emergency care following your phone call.

 

 

 

Question - What do new parents and Dr. Unite have in common?

 

Answer – Sleep depravation!

 

Several weeks ago, the Unite family became the proud owners of their first pet - a “Labradoodle” puppy. The girls immediately named this adorable fur ball “Cosmo”.


Cosmo has “overwhelmed” the family with his charming personality, unlimited energy, and unique ability to stay awake and “talk” all night long!!!

 

 

Don't forget to send an e-mail to info@treehousepedi.com and let us know how we're doing, what you'd like to find on our website, or even read about in future newsletters.