U.S. doctors online nowAsk doctors free

Dr. Johanna Fricke

Pediatrics - Developmental and Behavioral
Las Vegas, NV
51 years experience female

About

Bio

I have practiced Pediatrics in Reno and Las Vegas, Nevada since 1976, ABP certified since 1978. I have specialized in Developmental/Behavioral Pediatrics since 1986, ABP certified in 2002 when the subspecialty board exams were first offered, with maintenance of certification in Nov. 2012. I have practiced in both public & private sectors and have been a medical expert witness in Child Maltreatment Syndrome, Perinatal Addiction, Fetal Alcohol Spectrum Disorders, and the needs of children with neurodevelopmental disorders. I believe in a team approach to the care of children with special health care needs and behavioral challenges. My three daughters live " back East," so I cherish my time with my three grandsons. I enjoy reading, quilting, and living in a city that doesn't take itself too seriously.

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Pediatrics - Developmental and Behavioral

- Select Specialities -

ADHD & Autism

Developmental and Behavioral Pediatrics

Doctor Q&A

3.2K Answers
4.2K Agrees
The number of answers this doctor has agreed with.
A 25-year-old female asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 51 years experience
This site has: Animations: http//neuroanimations.Com/hydrocephalus/hydrocephalus.Html. It's well worth joining the hydrocephalus association at http://www.Hydroasso... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old female asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 51 years experience
Great advice from Dr: F. If her doctor tells you her health & development are ok other than her delays in self-help skills, always offer solid food before nursing. Typ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old female asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 51 years experience
Ask your OB to refer: You to a hematologist, along with your husband & all pertinent lab results for each of you. The information you gather from the hematologist will all... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old female asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 51 years experience
I agree, if you have: Concerns, ask his pediatrician for parent & teacher questionnaires like the Vanderbilt or Conners. Take the completed forms & your child to ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 51 years experience
Probably normal: Peristalsis is a series of wave-like contractions, Liquids & food are propelled through the intestine in this manner. Contractions are aren't wel... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old female asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 51 years experience
The overall risk of: Birth defects is 4% and of the specific pattern of moebius syndrome (facial paralysis) & limb defects is 2%, in one prospective study. Your options ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old male asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 51 years experience
Manifestations of : Joubert syndrome vary widely. Supportive treatments must be tailored to your nephew's medical, developmental & educational needs. World-wide support &... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old male asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 51 years experience
Telemetry at a: teaching hospital is a prolonged EEG during sleep & wake for several days. A sleep study can be done to rule out central or obstructive apnea, as... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old female asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 51 years experience
I'd worry more if : Her symptoms had not been assessed & addressed appropriately. Close monitoring & diagnostic studies to determine the cause of her symptoms & the abno... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old female asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 51 years experience
Neuropsychological: Testing was originally used to assess effects of chemotherapy on brain functions (e.g., processing, memory & attention). It's the best way to determi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 51 years experience
Women with PWS often: Don't have periods on their own or have irregular periods after age 16. At least 2 pregnancies have been reported. Genetic counseling is important f... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old female asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 51 years experience
Two sets of factors: 1) sle can present with vague symptoms of fatigue, malaise, muscle aches & joint pains that wax & wane without specific physical findings + neuro... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old female asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 51 years experience
Betcha she's 6 mos.: Or older (and has read the aap recommendations on breastfeeding till ~a year :) ) implicit memory, the ability to remember what happened yesterday, be... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old female asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 51 years experience
The question is: Whether it's medical or behavioral. If you have a consistent bedtime & routine, reading, rocking, feeding, brushing her teeth, then putting her in her... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 17-year-old female asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 51 years experience
Don't worry, see : Your doctor. Since you have physical therapy for some reason, tell your doctor your medical & family history & have a physical exam. If your doctor t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 51 years experience
The M-CHAT screen : (firstsigns.Org) captures qualitative impairments in social reciprocity: joint attention, gaze monitoring, pointing at items to share interest. Atypic... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old female asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 51 years experience
Kanner's 1943 paper : On autism described autistic regression in ~ 30% of toddlers, same as today. Neuroimaging of siblings of kids with autism shows atypical development ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old male asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 51 years experience
There are only 2 : stimulants, methylphenidate, MPH, & and amphetamine. In 2000, the first long-acting MPH or " Ritalin" delivery system became available, with once-... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old female asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 51 years experience
If the first day of : Your last menstrual period was jan 6, your estimated due date is oct. 13, with conception jan. 20th. Each putative father may wish to pay for his ow... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old female asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 51 years experience
Myoclonic " jerks": During the sleep-onset phase are benign. If you have delayed-onset sleep, (> 30 minutes), consider a sleep study.
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old female asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 51 years experience
Don't get antsy for: A premature delivery (before a solid 38 weeks). Discuss with your OB & the pediatrician you've chosen to attend to your baby's health after delivery.
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old male asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 51 years experience
Re-visit geneticist: Newer molecular genetic tests like comparative genomic hybridization may help find the underlying cause. His primary care doctor can order this, codi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old female asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 51 years experience
A mix of genetic, : Pre- & post-natal medical & psychosocial factors may contribute to ftt. A developmental/behavioral pediatrician reviews history & medical records of ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old female asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 51 years experience
Do you you know if: You had a " clubfoot" when you were born that was treated successfully? That would be one reason, because the calf muscle can be smaller on the extr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 51 years experience
Freckles are a sign: That you've been out in the sun without enough sunscreen protection. Wear an spf 35-50 every day. Wear a hat or cap, also, & protect the bac... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old female asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 51 years experience
Get a diagnosis : First by quick-strep or throat culture at his pediatrician's office. If he has group a strep, be sure to give him all of his medicine as prescribed by... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old female asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 51 years experience
More information is: Needed to address your concerns. Pre-pubertal boys & girls have an = incidence of depression, a cause for increased frequency & duration of crying if ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old female asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 51 years experience
Infants have a range: Of activity levels. Some seem ready to explore their environment early. If there were no prenatal exposures, illnesses or events of concern, just try ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old female asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 51 years experience
The ultrasounds : Don't increase risk of autism. At 35, the risk of genetic errors increases; screening tests are done in the 1st & 2nd trimester.Ask what the specific ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A male asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 51 years experience
A hairline fracture : Could have happened from repeated stress of his forearm while wrestling. The area directly over it may be very tender when touched. There may be some ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old female asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 51 years experience
Sounds good to me.: I think the mayo clinic has one of the best sites on fetal development. http://www.mayoclinic.com/health/fetal-development/. You might use your last ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old female asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 51 years experience
Well, it can have a : Stimulating effect some parents hate. Read fat, sugar & calories on labels. Don't give anything with tree nuts, peanuts or popcorn till 5 yrs, becaus... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 51 years experience
If abdominal pain : Becomes sharp or severe, you'd need to take him to the er. Swelling of the spleen is common. Don't keep pushing on his abdomen. One of the rare compl... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old female asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 51 years experience
Milk?: Infants need breast milk or formula till 12 months. Cow's milk & milk products should be limited to 16-21 ounces/day after a year to avoid anemia & co... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old female asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 51 years experience
You can, but: Mild uterine contractions caused by breastfeeding may not impact a healthy pregnancy but certainly may if you have a history of premature birth, are e... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old female asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 51 years experience
Because the fetal : Brain starts to form 3 wks. Post-conception & the heart & other organs soon after, a fetal-maternal medicine specialist will ask about exposure to tox... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old female asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 51 years experience
Maybe flip that: In children who have shunts for hydrocephalus, concerns are shunt blockage or infection. When they have acute minor illnesses with fever, listlessness... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old female asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 51 years experience
Head banging can : Occur in neurotypical infants & toddlers. Video it for his 2-year well-child check. The aap recommends ongoing developmental surveillance using stan... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 51 years experience
Methylphenidate &: Amphetamine are the two stimulants used for adhd. In large studies , their safety & efficacy are about the same. However, individual responses vary. F... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old male asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 51 years experience
See listed foods at: http://ods.od.nih.gov/ you may also want to review the pro's & con's of uht milk.Limit milk & milk products to 16-21 oz./day. Limit juice to 4-6 oz.... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 49-year-old female asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 51 years experience
Unless a child has: Gluten enteropathy (celiac disease) documented by specific laboratory tests, there's no medical reason to use a gluten-free diet. Likewise, removing m... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old female asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 51 years experience
Congenital Ectropion: Uveae is a non-progressive condition: iris pigment epithelium curls around the margin of the pupil onto the anterior surface of the pupil. It can be... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old female asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 51 years experience
Constipation may be: Related to pain medications. If of recent onset. Children with low muscle tone tend to have chronic constipation. Your son's pediatrician can advise y... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old female asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 51 years experience
For information on : G6pd deficiency, see http://g6pddeficiency.Org/. Hyperactivity may be a symptom of adhd in a pre-schooler. See her pediatrician if her activity level ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old female asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 51 years experience
In truth, HFA has: Never been a diagnosis, just a term for a person with autism whose iq is > 70. The dsm-v diagnosis autistic spectrum disorder includes autism, Asperg... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old male asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 51 years experience
What are his height: & bmi? Is his weight low for his height or does he have short stature? Has his pediatrician looked for genetic or other medical causes? Has his 3-da... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old male asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 51 years experience
Review the velocity: Of all growth parameters (weight, length, weight-for-length & head circumference) & development with his pediatrician to determine if there's a need t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old female asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 51 years experience
The natural time of : Weaning is around a year, when whole milk & milk products are limited to 16-21 0z./day to avoid constipation, iron deficiency anemia (which can cause ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 51 years experience
Sleep consolidation : Is promoted by a consistent bedtime & routine, reading, soothing, wiping out baby's mouth after the last feed, then putting her to bed on her back in ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old female asked:
Dr. Johanna Fricke
Pediatrics - Developmental and Behavioral 51 years experience
Maternal serum : Screening at 10-14 weeks + fetal ultrasound (fus) at 11-14 weeks + maternal "quad" screen at 16 weeks detects ~ 95% of fetuses with Down syndrome w... Read More
Created for people with ongoing healthcare needs but benefits everyone.

Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

46
Recommendations
1.9K
Thank you notes
Dr. Fricke takes the time to provide answers rich in substance and educational information. The more I read of her contributions, the more I am humbled by the extraordinarily high quality of her resp...Read More
Dr. Ira Katz
Nov 11, 2015
In reading and reviewing Dr. Johanna Fricke's answers I am impressed how she is able to convey information about the precious things in our lives - our children - in a concise and detailed manner and ...Read More
May 5, 2014
If your child has a developmental, learning, or behavioral problem, a developmental-behavioral pediatrician, Dr. Johanna Fricke , has the training and expertise to evaluate and care for your child. Do...Read More
HealthTap member
That is what it was, I was finally doing the right thing and then..... But I'm healing now emotionally thanks to asking for help from people like you as lack of a support system is a major reason for...Read More
HealthTap member
Thank you. His pediatrician says the "physical features" or facial mapping does not fit him. He is 6 yrs old and has been hitting his "milestones" just 3 yrs behind socially. I dont want to change ...Read More
HealthTap member
This was very helpful. Thanks! Thank you for your response. I threw away the q-tips. Never again! I feel horrible that it slipped in while cleaning the outside.I will have him seen 1st thing in the mo...Read More

Education & Training

Medical/Graduate school

University of Alabama School of Medicine, AL
Graduated 1971MD

Residency

UABSOM

Residency

UTHSCSA

Awards

America's Top Doctors
Southern Nevada Top Doctors
Associate Professor of Pediatrics UNSOM 2000-2012

Affiliations

American Academy of Pediatrics
Society for Developmental/Behavioral Pediatrics
American Medical Association
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less