For over 50 years, Hendersonville Pediatrics, P.A. has provided pediatric services to the children of Henderson, Transylvania and Buncombe counties. We have offices in both Hendersonville and Brevard and our on-call physicians are available 24 hours a day, 7 days a week.
The kids are back in school and both offices of Hendersonville Pediatrics are operating under their Fall and Winter Schedule. Both offices are open Monday-Friday from 8am-5pm. After hours sick-child appointments are also available 7 days a week. Please call to make an appointment for an after hours visit.
All of our Physicians' kids have received their flu vaccinations this year...have yours? Read more about the recently released study by the CDC about how flu vaccinations significantly reduce the risk of pediatric deaths (click here).
Your children are our children and we take pride in the excellent care we provide here at Hendersonville Pediatrics. Please join me monthly (or every two weeks if my four kids allow me time to write!) and I will in turn provide interesting, helpful and maybe even comical blogs. Simply click here to see Dr. S' BLOG posts.
Asthma is one of the most common childhood diseases in the US with over 7 million children affected. Establishing the diagnosis involves a careful process of history taking, physical exam and diagnostic studies. Infants and younger children require a more comprehensive evaluation because there are many causes of wheezing and these patient typically cannot perform some of the diagnostic testing like most children older than 8yrs of age. There are 3 main components of asthma:
1. Airway Inflammation - Chronic airway inflammation is a staple component of Asthma. This is treated by a daily inhaled steroid like Budesonide, Flovent, or Pulmicort.
2. Reversible Airflow Obstruction - This is a hallmark of asthma and occurs when there is restricted airflow. A spirometry test is the preferred method to determine a diagnose and is treatable with short acting bronchodilators, for example, Albuterol, Proventyl, or Proair. These medications are used for "rescue" and only as needed.
3. Airway hyperresponsiveness is the final component and is defined as how much the airways narrow when exposed to cold air, histamines, exercise, common colds, allergies or other triggers.
Springtime and Fall are often the most common times of the year due to seasonal allergies and Winter if the child has a trigger of cold air or illness. Close and regularly scheduled follow up visits manage the condition and help prevent common complications of asthma such as bronchitis or pneumonia. Please call the office if you believe your child may have asthma or has been diagnosed and has not been seen by a physician within the last six months. Additional videos are available below to help understand how to use some common asthma treating devices.
Below is a list of links to asthma medication administration videos for provider, nurse and patient use:
How to Use a Nebulizer
How to Use an Inhaler with Spacer and Mask
How to Use an Inhaler with Spacer
How to Use a Dry Powdered Inhaler
How to Use a Twisthaler
Cómo usar un inhalador de dosis fija con espaciador:
Find The Balance.
A cherished friend, recently shared an interesting article with me which focuses on positive attachment and its’ effect on children later in life. It discusses ways to form a positive attachment or loving bond with your children. Be mindful of their need to have close physical contact early on. Some older generations may view this as spoiling the child, lacking boundaries or the “attachment parenting” style. In some ways it parallels attachment parenting, however, in more ways it is vital for a healthy child. We know this when we look at studies on orphans who lack the physical contact, bonding experiences and attachment early on. It affects their physical growth, mental capacity and ability to learn and thrive.
Follow a child’s lead with respect to playtime. Mirror them while interacting. Get on their level and play. I take this further when raising my own children and giving advice to patient’s families. For me, allowing them to lead, extends to almost anything. Eating, sleeping and soothing. While special circumstances occur (sleep schedule b/c early daycare dropoff, multiples, a chronically ill child) most of the time you will have a happier child if you feed them when they are hungry, nap them when they are tired, leave them be when they need to be alone. First time parents often get overwhelmed, understandably, by family members, friends and books! There are so many opinions, approaches and ideas about the “right way” to parent. Personally, I take bits and pieces from all of it and see where it takes me. I change my approach if it isn’t working. I read and educate myself on what has worked for others, but it needs to all be considered, much like my child’s individuality. Not as easy as it sounds:)
Keeping it positive is important. Praise kind behavior and explain unkind behavior. Be sure to encourage them. For example, instead of saying, “good job coloring” (general praise), encourage by saying, “I love the way that you colored that tree with rainbow colors!” (specific encouragement). Model positive interactions with other children or your partner, as children are watching you even if you are not aware at the time.
Allow them to figure out conflicts. When you find your kids fighting over a toy, a show or tattling, step back and decide, “do they really need me to fix this?” Usually, they are capable of figuring it out (age appropriately of course). Tell them to work on it together. I find that the argument usually fizzles rather quickly. If not, they are practicing vital skills in conflict management. If there are times when kids can’t get past the struggle, distraction workd wonders for all ages. Conflict resolution can help them form positive bonds with others.
Model positive attributes like sharing the workload in the household. Parents should share the workload to help balance the day to day chaos. Some of us work outside the home. Some of us work inside the home. Some of us do both. Strive to be fair. Just as the kids should clean up their plates because they are members of the household, both parents should contribute to chores as well. This shows the child respect and exemplifies what a positive relationship should look like. Is it always exactly 50:50? Not usually, but it’s a good goal to share the workload in a way that works for you as a family.
Don’t overanalyze. I have four children and a very busy world. It is my immediate focus during my days to be a “good mom”. I dislike referring to anything as good or bad, but this exemplifies an important consideration. What does it mean to be a good mom or dad? Let’s rephrase that as a “positive influence”. It means different things to different families. It is largely based on our own experiences. It may be constantly changing for you. That is OK. In our quest to be a positive influence, raise strong children and avoid harming our kiddos, we must challenge the urge to overanalyze. What did I used to do? Is this the “right” thing to do? What does my friend do? What do “they” think I should do? Society has a great impact on our need to please and our ideas of being a “good parent”. Personally, I have learned to let it go. No one else is my child’s mother. No one else has had my exact experiences as a mother. Others may judge, but should that even matter? We all have opinions. We all listen to those around us. Do we always critique them? No. Do we always adopt their approach? No. That is OK. Trust yourself as a parent. Follow your instincts because they are usually there.