Monday, February 27, 2012

A 20 second neonatal neurological assessment in the ER !

Here are some great pointers from an ER Pediatrician for general specialists (& of course Pediatricians) on how to figure out if a neonate has possible neurological problems, within 20 seconds of reporting to the ER.

The most important thing that is different between a baby and an adult is that you get a ton of information just from picking up the baby. It's the first thing you are going to do when you see a neonate with one of these complaints or concerns — when the caregiver says, "I think he had a seizure," or "I think he stopped breathing," or "He threw up and changed color."
You undress them from top to bottom so you can see everything. Then you pick them up so that you can feel whether that baby is in respiratory distress. You're going to feel whether they have the right tone. They may be curled up, kind of in a little ball, with some flexor tone, which means their arms are curled in a little bit, their head's a little bit tucked, their legs are drawn up a little bit, kind of as if they had just come out of the womb. And if they are floppy, you're going to feel that. You're going to get a sense that this baby is not where he or she needs to be.
Then you lay them back down and you pull up on their arms, and you see at the very end of that if they can get their head a little bit righted. By about 3 weeks of age, they should have a nice increase in their head control and be able to pull it up a little bit on their own.
The third thing — and these things all take under 20 seconds to do — is to check whether they can visually fix on an object and follow it a full 180 degrees from left to right.
With those 3 things — tone, head control, and visual fix and follow — you're going to have a really good preliminary idea of what your baby's neurological exam is. If it's not normal, that's going to open up a whole different evaluation than if it's normal.
Comments: This is by no means a comprehensive neurological examination, and should be supplemented by further tests as appropriate if the above examination is equivocal / abnormal. But by doing the above, you are unlikely to miss a gross neurological problem in a newborn.

Friday, February 24, 2012

14 Shocking Statistics About Children and Divorce


I’ve compiled these statistics about children and divorce for the “I’ll believe it when I see it” type of people who don’t accept anything as true unless it’s from a credible source or it’s been PROVEN in a convincing study.
If you are NOT one of these people, you need to read this anyway.
These days most people accept divorce as a way of life, completely unaware of the damage they are doing to their children. Tell your friends, acquaintances and co-workers to read these shocking statistics about divorce and children. It may help save a child’s life down the road. (And no, I’m not figuratively speaking either….just keep reading to find out what I mean.)
The EMOTIONALLY Damaging Statistics about children and divorce
1. Studies in the early 1980’s showed that children in repeat divorces earned lower grades and their peers rated them as less pleasant to be around. (Andrew J. Cherlin, Marriage, Divorce, Remarriage –Harvard University Press 1981)
2. Teenagers in single-parent families and in blended families are three times more likely to need psychological help within a given year. (Peter Hill “Recent Advances in Selected Aspects of Adolescent Development” Journal of Child Psychology and Psychiatry 1993)
3. Compared to children from homes disrupted by death, children from divorced homes have more psychological problems. (Robert E. Emery, Marriage, Divorce and Children’s Adjustment” Sage Publications, 1988)
These statistics about children and divorce are pretty shocking, aren’t they?
The DEATH of a parent is LESS devastating to a child than a DIVORCE
The PHYSICALLY Damaging Statistics About Children and Divorce


4. Children of divorce are at a greater risk to experience injury, asthma, headaches and speech defects than children whose parents have remained married. (Dawson, “Family Structure and Children’s Health and Well Being” National Health Interview Survey on Child Health, Journal of Marriage and the Family)
5. Following divorce, children are fifty percent more likely to develop health problems than two parent families. (Angel, Worobey, “Single Motherhood and Children’s Health”)
6. Children living with both biological parents are 20 to 35 percent more physically healthy than children from broken homes. (Dawson, “Family Structure and Children’s Health and Well-being” Journal of Marriage and the Family)
7. Most victims of child molestation come from single-parent households or are the children of drug ring members. (Los Angles Times 16 September 1985 The Garbage Generation)
8. A Child in a female-headed home is 10 times more likely to be beaten or murdered. (The Legal Beagle, July 1984, from “The Garbage Generation”)
This is what I mean when I said “these statistics on divorce and children could save a child’s life someday.” Did you read #12? A child raised by his/her mother is 10 times more likely to be beaten or murdered.
The Long Term Effects and Statistics About Children and Divorce
9. A study of children six years after a parental marriage breakup revealed that even after all that time, these children tended to be “lonely, unhappy, anxious and insecure”. (Wallerstein “The Long-Term Effects of Divorce on Children” Journal of the American Academy of Child and Adolescent Psychiatry 1991)
10. Seventy percent of long-term prison inmates grew up in broken homes. (Horn, Bush, “Fathers, Marriage and Welfare Reform)
Problems Relating to Peers
11. Children of divorce are four times more likely to report problems with peers and friends than children whose parents have kept their marriages intact. (Tysse, Burnett, “Moral Dilemmas of Early Adolescents of Divorced and Intact Families. Journal of Early Adolescence 1993)
12. Children of divorce, particularly boys, tend to be more aggressive toward others than those children whose parents did not divorce. (Emery, “Marriage, Divorce and Children’s Adjustment, 1988)
Suicide Statistics About Children and Divorce
13. People who come from broken homes are almost twice as likely to attempt suicide than those who do not come from broken homes. (Velez-Cohen, “Suicidal Behavior and Ideation in a Community Sample of Children” Journal of the American Academy of Child and Adolescent Psychiatry 1988)
High School Drop Out Statistics About Children and Divorce
14. Children of divorced parents are roughly two times more likely to drop out of high school than their peers who benefit from living with parents who did not divorce. (McLanahan, Sandefur, “Growing Up With a Single Parent: What Hurts, What Helps” Harvard University Press 1994)
I can’t stress how important it is to know all the facts before you get a divorce. Your child’s life is in your hands. If you’re seriously considering divorce and you haven’t attempted to save your marriage , I’ve just given you 14 reasons why it’s at least worth a try to keep your family together. 

URL :
http://www.marriage-success-secrets.com/statistics-about-children-and-divorce.html

Wednesday, February 15, 2012

7 signs that your child loves you .. and a few more !

Here are some 'clues' that your child loves you .. from the excellent BabyCenter website .. 


1 Your newborn stares into your eyes.
He's actually working hard to memorize your face. He doesn't understand anything else about the world, but he knows you're important.


2 Your baby thinks about you even when you're not around.
Between 8 and 12 months old, she'll start to scrunch her face and look around when you leave the room — and she'll smile when you return.
3 Your toddler throws wicked tantrums.
Nope, those screaming fits don't mean he's stopped loving you. He wouldn't be so hurt and angry if he didn't trust you so deeply.
4 Your toddler runs to you for comfort when she falls down or feels sad.
Kids this age may not truly understand the meaning of "I love you," but their actions speak louder than words.
5 Your preschooler gives you a gift.
A flower picked from a garden, a finger-painted heart, a sparkly rock, or another small token is his way of saying you're special.


6 Your preschooler wants your approval.
She'll start to be more cooperative around the house, and she'll look for chances to impress. "Look at me!" will become a catchphrase.
7 Your grade-schooler trusts you with secrets, like his first crush or his most embarrassing moment.
You're his confidante, even if he shies away from your hugs in public.

And here are a few more that I could think of ... remembering my two year old daughter ...
Feel free to add more in the comments section :)

Your preschooler repeats everything you say.
Even if words don't make sense to her, she (tries to) repeat everything you say ... goal, sixer etc.

Remembers your likes & dislikes 
Gets a glass of water, or your favorite slippers when you come back from office