Monday, November 23, 2009

Thanksgiving Holiday Hours

Meyer Pediatrics will be closed on Thursday, November 26th and Friday, November 27th. We will reopen at 8.30a.m. Saturday, November 28th. We are always available 24 hours a day by phone/answering service. I hope everyone enjoys the Thanksgiving Holiday!
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2 comments:

  1. JennMonday, November 23, 2009 4:50:00 PM

    I really appreciate reading your blog entries and the updates. Some of the subjects I would like to see addressed: Potty training for older training for staying dry overnight. In talking with my fellow moms, several of us are struggling with this on our school aged children. When should ditch the nite time pullups? suggestions for helping our kids make the transition?

    Another area I wonder about is "allergic shiners" should treatment be sought only when other symptoms are present? Are maintenance meds neccessary? Should my child be tested to determine what they are reacting too?

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  2. Dr TedTuesday, November 24, 2009 5:18:00 AM

    Thanks, Jennifer. I'm so excited! A question!

    OK, at age 4, about 80% of all kids are dry at night. Those that aren't are the "late" group, and they will slowly become dry over the next 10 or so years, at the rate of about 10% per year. SO, at 5 years old, about 90% of them are still wetting, and at 6 about 80% and so on. It's NOT laziness or anything like that. It's because, for reasons unknown to me, these kids are slow to get the night-time rise in a hormone called ADH (anti-diuretic hormone) that those of us who stay dry get. Ultimatley, just about all of them WILL get this night-time surge and they will become dry.

    There ARE rare other causes of night-time wetting (and I am ONLY describing kids who have ALWAYS wet the bed here, not kids who WERE dry and then started wetting later). At any rate, these kids should have a good physical exam one time to be sure that there is nothing else causing the enuresis (the medical term for night-time wetting) as there are several treatments available, at least for sporadic use, such as when your child wants to have a spend-the-night party without others finding out.

    Therefore, to answer your question, I would recomend the pullups until they aren't needed anymore, whatever age that might happen to be. My patient who was the latest to get permanently dry was about 16 or 17. For the routine changeover from pull-ups to underwear, "big kid" underwear shoud be a reward, NOT an inducement. They should only be allowed to wear "big girl panties" when they can go a whole week without wetting.

    As for the allergic shiners, I'll get to that in another post.

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