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Doctor insights on: Childcare

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Friend thinks she may have contracted herpes from a child at her childcare facility, is this possible?

Friend thinks she may have contracted herpes from a child at her childcare facility, is this possible?

Possibly: The strain matters here. Generally hsv I causes cold sores and mouth ulcers, and is common with children. Hsv ii is the genital variety, generally contracted through sex. However, both types can cause problems in the alternate areas, so it is possible to become infected through an atypical route like you describe. ...Read more

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Is it possible to be afraid of a particular childcare? Is it kids or adults or toys?

Is it possible to be afraid of a particular childcare? Is it kids or adults or toys?

All or none of above: It is possible for some one or more persons to be afraid of any one or more things, places, people, etc. The child's perception of the situation, of other's behavior, voice, words, actions can influence the child's choice of fear. How others perceive and choose to interact with the child also influence the child's choice of fear. Triggers of unrelated fear experiences may be there too. ...Read more

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Anxiety and stress help! It's becoming too much. Should I give up work and do fulltime childcare?

Anxiety and stress help! It's becoming too much. Should I give up work and do fulltime childcare?

Think twice.: Childcare work is not a sure escape for stress. Far from it. Indeed, for many, the lack of structure in home environment, plus the lack of clearly demarcated goals, limited interaction with adults, vague feedback re performance, & the never-ending nature of the "project", result in more anxiety. Try to find work that fits you, but be sure to develop the capacity to handle the stress inherent in life. ...Read more

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If a parent applies sunscreen before bringing their child to childcare, is it still effective if they do not go outside for another 3 or4 hours?

If a parent applies sunscreen before bringing their child to childcare, is it still effective if they do not go outside for another 3 or4 hours?

No: Unfortunately it needs to be reapplied at least every 2 hours. Your school should have a medication form you can fill out that will allow for the application of sunscreen. If they don't, have your doc write a note prescribing it for day use. They cannot deny use of a prescribed medication. ...Read more

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How can I tell if my occasional diarrhea is from working in childcare, or from an allergy of some sort.?

How can I tell if my occasional diarrhea is from working in childcare, or from an allergy of some sort.?

Hard to do: Specialty labs can identify viruses in stool, but it is pricey & requires samples. Blood tests can identify many of the common food you could be reacting to. Gluten sensitivity produces diarrhea & this can also be sorted out with blood tests. Of the things you could control, the food sensitivity issue is the one I would look into. ...Read more

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Is it lawful for someone to work in childcare after voluntarily admission to a mental hospital for stress disorder?

Is it lawful for someone to work in childcare after voluntarily admission to a mental hospital for stress disorder?

That depends: Having emotional issues does not automatic render someone as incapable of caring for children. However, one does require some degree of emotional stability. See what your contract says in regards to reporting requirements. ...Read more

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My son is almost 3 and he hardly talks. He understands everything I say and is very smart, he just can't seem to talk or pronounce anything. He's been in childcare ever since he was 10 mos old, ?

My son is almost 3 and he hardly talks. He understands everything I say and is very smart, he just can't seem to talk or pronounce anything. He's been in childcare ever since he was 10 mos old, ?

Speech evaluation: Please get him evaluated by speech therapist. The earlier the diagnosis is made and the earlier treatment he receives, the better his prognosis will be. Wish him the best. ...Read more

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My 9 month old, formula fed son has had diarrhea for 4days. Unsure if gastro or reaction to food given at childcare. Would lactose-free formula help?

My 9 month old, formula fed son has had diarrhea for 4days. Unsure if gastro or reaction to food given at childcare. Would lactose-free formula help?

Sometimes: One of the first effects diarrhea can have is to reduce a babies ability to absorb lactose. Sometimes a lactose formula for a week or so will allow the gut to stabilize and return to normal absorption. ...Read more

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Is it safe for my 7 week old to receive childcare in a home with another infant who's been feverish all week? Other infant's fever broke 48 hours ago.

Is it safe for my 7 week old to receive childcare in a home with another infant who's been feverish all week? Other infant's fever broke 48 hours ago.

Hand Hygiene: Viruses may shed for days after the fever is gone, but the transmission rate is lower. I would advise that the center use hand washing and sanitize the surfaces/toys. ...Read more

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My son 2 years had a cough from 2 months try bisolvon and ventolen and doctor say it because the childcare what treatment? Also I try wet vapour

My son 2 years had a cough from 2 months try bisolvon and ventolen and doctor say it because the childcare what treatment? Also I try wet vapour

Chronic cough in a: child is often caused by Reactive Airway Disease, a term for bronchial spasm & inflammation without full-on asthma attacks. His pediatrician prescribed Ventolin, a bronchodilator, but also Bisolvon, dextromethorphan, a cough suppressant that can keep mucus from moving. Pediatric pulmonologists & allergist/immunologists diagnose & manage RAD & look for triggers like viruses, allergies &/or exercise ...Read more

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Should blanket be used in crib/sids/care provider should blankets be kept in cribs/childcare provider?

Should blanket be used in crib/sids/care provider should blankets be kept in cribs/childcare provider?

Avoid loose bedding: Loose or soft bedding should be avoided as it might increase the chance of suffocation or strangulation-mediated crib death. ...Read more

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I'm a 32yo F who works in childcare. 5 years ago my left knee started to hurt when I moved to london but the past 6 months I have constant pain in both knees when's I get out of a seat and when I kneel and rise. No other joints hurt?

I'm a 32yo F who works in childcare. 5 years ago my left knee started to hurt when I moved to london but the past 6 months I have constant pain in both knees when's I get out of a seat and when I kneel and rise. No other joints hurt?

Be seen: There are multiple potential causes for your pain including chondromalacia underneath your patella. I would not hesitate to be seen for a specific diagnosis, and at that time treatment options can be discussed. ...Read more

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