Summer 2011 Newsletter

FUN IN THE SUN: A MIDSUMMER REFRESHER – Q & A ON SUN SAFETY

By Daphne Hirsh, MD

Q: What is the best way to protect everyone from sun exposure:

A: Use a lot of sunscreen! Here are some helpful tips:

  • Use SPF of 15 or more with both UVA and UVB protection
  • Use at least one ounce per application and reapply every two hours, especially after swimming or sweating.
  • Remember that no sunscreen is truly waterproof.
  • It is best to let sunscreen dry before heading out into the sun.
  • Wear protective lightweight, cotton clothing, and wide brimmed hats.
  • Wear sunglasses that block greater than or equal to 98 % of UVA and UVB rays
  • Use extra caution to avoid direct sunlight during the hours of 10 am and 4 pm.

Q: Can infants less than 6 months wear sunscreen?

A: Yes, but it is still best to avoid direct sunlight and dress them in lightweight clothing, using sunscreen only on exposed areas such as hands and face.

Q: Why be so proactive with regard to sunscreen?

A: “Young people who experience one or more severe, blistering sunburns have a higher risk of developing melanoma later on. (Sophie Balk, MD, AAPNews, March 2011)

Both intense, intermittent and longer exposure to lower levels of ultraviolet radiation raise one’s risk of developing all types of skin cancer.

Q: Do tanning beds offer a protective effect against damages of subsequent sun exposure (ie: pre-vacation tan)?

A: No. These beds emit high levels of UV radiation, especially UVA.

Bug Sprays During These Summer Days

Q: Do insect repellants protect against both biting insects and stinging insects?

A: No. They only provide protection from biting insects such as mosquitoes, flies, ticks, and chiggers.

Q: What type of repellant works best, chemical repellants with DEET ( N,N Diethyl 3- Methylbenzamide) or those made from essential plant oils like citronella?

A: Those with DEET offer the most protection, 3-8 hours depending on the percent DEET.

Q: How much DEET is recommended?

A: Up to 30 %

Q: Is DEET safe for all children?

A: It is safe for any child over two months of age.

Q: Do wristbands or ultrasonic devices work?

A: Evidence suggests not.

More Tips:

  • Always read labels and follow product directions.
  • Apply repellant only on outside of clothing and exposed skin.
  • Apply in well ventilated areas to avoid breathing in spray.
  • Wash skin with soap and water once indoors.
  • Do not spray on to face directly.
  • Avoid products which combine SPF and DEET.

CHOOSE MY PLATE: WHEN SUMMER GIVES YOU LEMONS . . .

By Rebecca Unger MD and Marie Vervaeke MD

Summer afternoon; to me those have always been the two most beautiful words in the English language. ~ Henry James

Summer offers invigorating heat, breathtaking scenery, and refreshing days in the pool and by the lake. It also offers a variety of fresh fruits and vegetables to keep family meals nutritious. The new website, Choosemyplate.gov helps plan healthy meals and snacks for the whole family. There are many suggestions for including fruits, vegetables, and other foods that your children’s growing bodies need, but their taste-buds may not always desire.

Here are some recommendations:

How many whole grains should my family eat daily?

Half of your daily grains should be WHOLE grains. Whole grains are different from processed grains because the entire grain kernel is included. Examples are whole wheat flour, bulgar (cracked wheat), oatmeal, whole cornmeal, brown rice, quinoa, and even popcorn! It has been shown that whole grains may reduce the risk of heart disease, decrease constipation, and assist in weight management.

How much of my plate should be fruits and vegetables?

One-half of your plate should be fruits and vegetables. Summer means many colorful and delicious fruits are in-season and can be found in local farmer’s markets and the grocery stores. Try keeping a bowl of fresh fruit out on the counter. This may encourage healthy snack choices as well as provide fun summer decorations. Top your favorite cereal with fresh berries or banana slices. Create refreshing summer fruit smoothies with frozen fruit, milk, and yogurt (also a good sources of calcium and vitamin D!). Offer cut-up fruit with a low-fat yogurt dip for a healthy snack. If fresh fruit is not available, buy precut, no added sugar, dried, frozen, or canned fruit. Create fun summer salads with easy to prepare, prewashed salad greens and decorate with colorful vegetables. Let your children pick out new vegetables to try (have a scavenger hunt at the grocery store!). Add vegetables to a stir-fry, vegetable pizza, pasta sauce, or kabobs on the grill at your family barbecue. Make sure you set a good example for your children by eating your fruits or vegetables.

How many dairy servings do my children need?

Daily recommendation

Children

2-3 years old: 2 cups

4-8 years old : 2 ½ cups

Girls and Boys

9-13 years old: 3 cups

14-18 years old: 3 cups

Options to increase dairy intake: add milk to oatmeal, smoothies, serve chocolate pudding with low-fat milk, top fruit or baked potato with low-fat yogurt

How many protein servings does my child need?

Daily recommendation

Children

2-3 years old : 2 ounce equivalents

4-8 years old : 4 ounce equivalents

Girls

9-13 years old: 5 ounce equivalents

14-18 years old: 5 ounce equivalents

Boys

9-13 years old: 5 ounce equivalents

14-18 years old: 6 ½ ounce equivalents

What options do we have if we practice a vegetarian diet?

Nutrients to focus on for vegetarians

  • Protein: Sources of protein for vegetarians include beans, nuts, nut butters, peas, and soy products (tofu, tempeh, veggie burgers). Milk products and eggs are also good protein sources for lacto-ovo vegetarians.
  • Iron: Iron sources for vegetarians include iron-fortified breakfast cereals, spinach, kidney beans, black-eyed peas, lentils, turnip greens, molasses, whole wheat breads, peas, and some dried fruits (dried apricots, prunes, raisins).
  • Calcium: Sources of calcium for vegetarians include calcium-fortified soymilk, calcium-fortified breakfast cereals and orange juice, tofu made with calcium sulfate, and some dark-green leafy vegetables (collard greens, turnip greens, bok choy, mustard greens).
  • Zinc: Sources of zinc for vegetarians include many types of beans (white beans, kidney beans, and chickpeas), zinc-fortified breakfast cereals, wheat germ, and pumpkin seeds. Milk products are a zinc source for lacto vegetarians.
  • Vitamin B12: Sources of vitamin B12 for vegetarians include milk products, eggs, and foods that have been fortified with vitamin B12. These include breakfast cereals, soymilk, veggie burgers, and nutritional yeast.

Physical Activity Tips

Young children (2-5 years old) should be active every day, several times/day. The activities should be developmentally appropriate, safe and fun. Older children and adolescents should also be active every day. The physical activity does not have to be all at once but should add up to about 60 minutes each day and should include both moderate and vigorous activity (causing an increased heart rate and sweating). Activities should include muscle strengthening (climbing) and bone strengthening (jumping) several times a week. Physical activity should include free play, organized activities (team sports/activities) and lifestyle activity (walk the dog, walk to the grocery store, bike ride to school). Promoting family fitness activities (bike rides, nature walks, picnic games) are beneficial for the whole family. Do not forget the bike helmets!!

So, when summer gives you lemons, be sure to have a lemonade stand!

CUMULATIVE SLEEPINESS

By Dr. Marc Weissbluth

Long summer days hanging out at the pool or BBQ are great for family fun. But we have to be careful and not overdo late bedtimes with our babies and children because they will become more and more sleep deprived.

We and our children have biological clocks and our brains automatically shift into a drowsy/sleepy state. If we occasionally stay up past this time we accumulate a sleep debt that might be repaid later with an earlier bedtime or a later wake-up time. But if we always stay up past our biological sleepy time, it is impossible to fully repay the sleep debt and the sleep debt grows and grows. This increasing sleep debt causes cumulative sleepiness so our children’s mood, performance, and behavior worsens and worsens until “all of a sudden, for no reason at all” there are major meltdowns, bedtime battles or fighting naps. The cause of this increasing levels of moodiness, whining, and tantrums, especially near the end of the day is a sleep tank that is becoming more and more empty.

New from HealthyChildren.org

New Crib Standards: What Parents Need to Know

Car Safety Seats: Information for Families for 2011

Summer Safety Tips – Staying Safe Outdoors

Northwestern Children's Practice

Pediatricians located in Gold Coast, Chicago, IL

The Northwestern Children’s Practice team educates parents to help them raise healthy and loving children and educates children to help them develop healthy habits. As one of the best pediatrician offices in Chicago, our health care providers are dedicated to providing anticipatory guidance to help families navigate from one visit to the next. Founded by Dr. Marc Weissbluth in 1973, the Northwestern Children’s Practice continues to thrive in Chicago’s Gold Coast, a few blocks away from Lurie Children’s Hospital. This welcoming team of experienced child health advocates cares for families in the Chicago-land area and beyond. The Northwestern Children’s Practice offers annual check-ups, lactation support, adolescent visits, sports physicals, vaccines, and more. Besides providing health care for children from infancy through young adulthood, the practice has doctors and nurse practitioners that specialize in sleep consultations, nutrition, and weight management counseling, treatment and prevention of childhood obesity and safe immunization practices. Several of our nurses are trained as lactation consultants to provide support during newborn well-visits. Our lactation consultants and doctors also lead a weekly support group for new parents. Topics often discussed are newborn feeding, including breastfeeding, sleep, development, and safety. 

The Northwestern Children’s Practice has continued to grow throughout the years and now includes a team of doctors, nurse practitioners, nurses and office staff who work together to provide comprehensive care with individualized attention. The office is located several blocks from Lurie Children’s Hospital, Prentice Women’s Hospital, and Northwestern Memorial Hospital. Patients can be seen at Northwestern Children’s Practice’s convenient walk-in clinic at 8-11 am, Monday through Friday and at 10 am on Saturday and Sunday. No appointments are necessary for the walk-in clinic. Scheduled visits are available Monday through Friday as well as a limited number of well-visits on both Saturday and Sunday. 

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Northwestern Children's Practice

The Northwestern Children’s Practice team educates parents to help them raise healthy and loving children and educates children to help them develop healthy habits. As one of the best pediatrician offices in Chicago, our health care providers are dedicated to providing anticipatory guidance to help families navigate from one visit to the next. Founded by Dr. Marc Weissbluth in 1973, the Northwestern Children’s Practice continues to thrive in Chicago’s Gold Coast, a few blocks away from Lurie Children’s Hospital. This welcoming team of experienced child health advocates cares for families in the Chicago-land area and beyond. The Northwestern Children’s Practice offers annual check-ups, lactation support, adolescent visits, sports physicals, vaccines, and more. Besides providing health care for children from infancy through young adulthood, the practice has doctors and nurse practitioners that specialize in sleep consultations, nutrition, and weight management counseling, treatment and prevention of childhood obesity and safe immunization practices. Several of our nurses are trained as lactation consultants to provide support during newborn well-visits. Our lactation consultants and doctors also lead a weekly support group for new parents. Topics often discussed are newborn feeding, including breastfeeding, sleep, development, and safety. 

The Northwestern Children’s Practice has continued to grow throughout the years and now includes a team of doctors, nurse practitioners, nurses and office staff who work together to provide comprehensive care with individualized attention. The office is located several blocks from Lurie Children’s Hospital, Prentice Women’s Hospital, and Northwestern Memorial Hospital. Patients can be seen at Northwestern Children’s Practice’s convenient walk-in clinic at 8-11 am, Monday through Friday and at 10 am on Saturday and Sunday. No appointments are necessary for the walk-in clinic. Scheduled visits are available Monday through Friday as well as a limited number of well-visits on both Saturday and Sunday. 


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More NWCP Resources
  • Our new parent support group meets weekly (Tuesdays at 12:30), this group is led by our lactation consultants and physicians and helps to advise on the concerns of families of infants. Topics often discussed include newborn feeding (including breastfeeding), sleep, and development.


  • We offer complimentary prenatal visits to expecting parents as a forum for the concerns of new parents. We have an exchange of information to discuss any prenatal issues, family history of medical issues, what to expect in the hospital, what to expect from your doctor visits in the hospital and what to expect during the transition to home. We will discuss important things to think about including newborn feeding, circumcision, vaccines and newborn screening tests.

    We also offer similar visits to adoptive families and to families who are considering changing pediatricians.

  • We have walk-in clinic hours 7 days/week. Patients can be seen at 8 am by physicians and pediatric nurse practitioners on Monday through Friday. Later walk-in hours with a nurse practitioner are available until 11 am also on Monday through Friday.

    Patients can be seen during our weekend walk-in clinic hours on Saturday and Sunday at 10 am.  

    No appointment is necessary

Our Office

Announcements
  • In June 26, 2016 Ann and Robert H. Lurie Children's Hospital launched a new advertising campaign. Dr. Unger is one of the doctors featured in the brand concept. You can see her and other doctors from Lurie Children's Hospital in magazines, and on billboards at the hospital and on the expressway. All, for your one.

  • We will have evening hours and weekend well-visits available by appointment!

    Please call to schedule.

  • Come in for your summer/school physicals!

    Make sure your child is up to date with vaccines. At the 11 year old visit we recommend the 3 adolescent vaccines including Tdap, Meningitis and HPV.

    At the 16 year old visit we give a booster for meningitis, and we initiate the Meningitis Type B vaccine series.

    To learn more about the HPV vaccine, please click here.

    To learn more about the Meningitis Type B vaccine, Please click here.

    American Academy of Pediatrics, Healthychildren.org 

     

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Accepted Insurance Plans

Listed are the major insurance providers we accept. For more information regarding specific plans, please call our office.

Aetna
BCBS
Cigna
Coventry Health Care
HFN
Humana
Interplan
Land of Lincoln Health
Multiplan PHCS
PHCS
United Healthcare
Testimonials

Words from our patients

  • Yelp

    "I have been taking my 6 month old son to NCP since he was born and I have only encountered top level service and medical advice from the doctors and nurses."

    Don J.
  • Yelp

    "We've been going to NCP for almost ten years...I am more than ecstatic to say that they've been very dedicated and have always been there for our family health issues."

    Sylvia O.
  • Yelp

    "They are in tune with our girls, proactive about health care and give honest, practical advice. We moved out to the suburbs but will not stop going to this practice..."

    Pam B.
  • Google+

    "Very happy with my experience with NCP for my three children! Our primary is Dr. Hirsh but had great experiences with Drs. Unger, Li, King and Goldstein as well!"

    Sanna B.
Ask us

Feel free to email us regarding any scheduling or general questions!

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Northwestern Children's Practice
680 North Lake Shore Drive
Suite 1050
Chicago, IL 60611