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Doctor insights on: Pirate Activities For Preschool

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My child shows fear of going to school.Age is 5.7years.Is not ready to leave classroom for pt and music lessons.No participation in oral sessions?Why?

My child shows fear of going to school.Age is 5.7years.Is not ready to leave classroom for pt and music lessons.No participation in oral sessions?Why?

Anxiety/A, Phobias/P: Part of normal development. 1.Social p: fear of contact with unfamiliar people, social isolation; desire of involvement w/family, familiar peers. 2.Separation a: unrealistic, persistent worries of possible harm befalling primary caregivers, persistent avoidance of being alone, complain distress. 3.School p. 4. Generalized a disorder: worries about future events. Encourage, talk; get counselling. ...Read more

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My 12 yr. Old son falls asleep doing schoolwork, homework, and chores; but is alert when watching t.V. Or playing video games, is this adhd?

My 12 yr. Old son falls asleep doing schoolwork, homework, and chores; but is alert when watching t.V. Or playing video games, is this adhd?

Maybe: Tv and video games are geared for a 4 second attention span. Most 2 year olds have longer attention spans than that. The 4 second attention span keeps your son alert via a neural reflex. It also lowers his attention span for the real world. Research states of those who watch 1 hour a day 9% will lower their attention span to add levels. 2 hours lowers 18% and 3 hrs 27%. Limit both to 45 min/day. ...Read more

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Will signing up my child for martial arts lessons give him more discipline?

Will signing up my child for martial arts lessons give him more discipline?

Absolutely!: I'm glad you posted this question...Having studied martial arts myself and having enrolled my son in the study as well. 'studying' imparts not only self-discipline but confidence and self esteem as well; and can be great in potentially dealing with "bullies". The only warning would be the demeanor of the sensei(or teacher); your child needs to 'fit' with him/her so meet with first and decide. ...Read more

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Do violent video games hurt a child's ability to sleep?

Do violent video games hurt a child's ability to sleep?

Definitely could: Playing any sort of video games (or having screen time) before bed is likely to negatively impact sleep- these games make the brain "wake up" and its hard then to calm down to go to sleep. Violent games may cause the child to be have scary thoughts before bed and make it tough to fall asleep. ...Read more

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Is there an addiction or disorder for people who watch anime excessively or play video games frequently? Watching free stream anime online 6-12 hours every day even digging into hentai for the absence of intimacy. And online using video games for social n

Is there an addiction or disorder for people who watch anime excessively or play video games frequently? Watching free stream anime online 6-12 hours every day even digging into hentai for the absence of intimacy. And online using video games for social n

Yes: Online addictions, whether for action games, online porn, chatrooms or many other activities can be serious and damaging to quality of life. Many addiction programs have now started special programs for those with these kinds of problems (called 'process' addictions). They sometimes reflect another underlying psychiatric problem, sometimes not. See an addiction specialist (aaap.Org or asam.Org). ...Read more

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Dementia pt sleeps excessively, when awakened not on his own accord becomes combative with CNAs. Is this reason for him to miss meals (and calories)?

Dementia pt sleeps excessively, when awakened not on his own accord becomes combative with CNAs.  Is this reason for him to miss meals (and calories)?

Dementia: Ethically what you describe stinks, barring a medical reason for dietary restriction. Take this issue to an advocate immediately, if not a lawyer specializing in elder abuse. ...Read more

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I work with preschoolers and have observed parents feeding their kids coffee. Is this ok?

I work with preschoolers and have observed parents feeding their kids coffee.  Is this ok?

Not recommended: Children don't really need caffeinated beverages of any type. It's best to avoid coffee, caffeinated tea, sodas, etc. It can cause jitteriness, trouble sleeping, irritability, dehydration, and increased heart rate and blood pressure. ...Read more

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14 month old doesn't point or show toys. Are these major autism red flags?No speech delay based on eval. Plays in turn taking social games, imitates.

14 month old doesn't point or show toys. Are these major autism red flags?No speech delay based on eval. Plays in turn taking social games, imitates.

Prob Ok, but watch: These do not sound like major red flags, since the language and play seem fine. There are screening tools such as MChat and CARS, that can also screen. Does he interacts well with others, make good eye contact? Eat well? Sleep well? Have normal bowel movements? ...Read more

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Would it be more beneficial to continue mainstreaming my 8 year old child diagnosed w hfa w adhd, gdd/asperger vs placing her in a special ED school?

Would it be more beneficial to continue mainstreaming my 8 year old child diagnosed w hfa w adhd, gdd/asperger vs placing her in a special ED school?

Ask school: The best think for your child is for you to team up with his teachers and school to get their opinion as to how he is doing. The school district is required by law to evaluate him to see if he needs special help if he has a confirmed medical diagnosis that may get in the way of his education. Sometimes you have to push the school to do it but collaborating is always best. Ask if he needs an iep. ...Read more

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Saw paralyzed man walking with artificial skeleton at berkeley graduation. Will that help more people?

Saw paralyzed man walking with artificial skeleton at berkeley graduation. Will that help more people?

Yes: Until we find a cure for paralysis which still seems to be a long way off, these "exoskeletons" will become more and more available for less cost and more widespread use. As a rehab doctor., I am really looking forward to the day when we can prescribe these devices more extensively. I think they will change lives for the better. ...Read more

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How many hours of sleep per 24hr does an elderly person need? 92 walks. Makes many loud breathing sounds at night but asleep; cat naps during the day

How many hours of sleep per 24hr does an elderly person need? 92 walks. Makes many loud breathing  sounds at night but asleep; cat naps during the day

She sleeps whenever: The amount of sleep may not change but habbit of sleep will over time. When young, u have to work and have other responsibilties to accomplish during day, thus needing to sleep at night. At 92, she does not have to get up early, so sleeps whenever she wants, naps whenever convenient. As long as she feels well and active when up, she is fine. She got to 92! she sleeps when she needs it! :-)). ...Read more

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Could someone with inattentive add survive medical school? I am smart, not hyperactive, a licensed pilot, very creative and quick thinking, but only decent at focusing and completing tasks on time.

Dr. Tony Ho Dr. Ho
1 doctor agreed:
Could someone with inattentive add survive medical school? I am smart, not hyperactive, a licensed pilot, very creative and quick thinking, but only decent at focusing and completing tasks on time.

Yes: If you have an aptitude for it, add should not hold you back; i had several classmates with a diagnosis of add, with symptoms controlled with medication. Good luck! ...Read more

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Home O2 monitor consistently records 17-30 hypopnea/hr at night but GP still won't refer as 'looks fine-no apnoea'! Persist y/n? In UK, v. frustrated!

Home O2 monitor consistently records 17-30 hypopnea/hr at night but GP still won't refer as 'looks fine-no apnoea'! Persist y/n? In UK, v. frustrated!

Hypopnea: If you are not happy with the explanation of your GP, find a new one or ask to see a sleep specialist, as 17-20 apnea/hypopnea index is not a normal number to see in the USA for our recordings. ...Read more

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My 2yr old is in a small family daycare we love,. His language &social skills are advanced. Does he need preschool or can we wait until pre-k?

My 2yr old is in a small family daycare we love,. His language &social skills are advanced. Does he need preschool or can we wait until pre-k?

Need? No...: It sounds like your son is in a loving environment. Children his age (and older) learn through play and connection. He doesn't "need" preschool. Read to him, talk to him, explain things to him, and most of all have fun! I bet he is already getting those things at the family daycare. My vote - if you are happy where he is there is no need to change. ...Read more

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Ritualistic behavior provide security for which age group? Is it toddler, infant, preschool or afolescent?

Ritualistic behavior provide security for which age group? Is it toddler, infant, preschool or afolescent?

Preschool: Usually it begins in toddlers and becomes more obvious in pre-schoolers. ...Read more

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Which disorders cause a 7 years old boy (having good grades) to sit alone in school despite he's social in family?P.S:he visits an orthophonist weekly

Which disorders cause a 7 years old boy (having good grades) to sit alone in school despite he's social in family?P.S:he visits an orthophonist weekly

Shyness: Some children are shyer than others, but some kids can get stressed at school. Talk to him about how he is doing. Is he anxious or stressed? Does he enjoy school? How are his grades? If you are concerned that he is depressed or having school problems, talk with his doctor or a therapist. ...Read more

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Geriatrics md: how can nursing home refuse to share care plan with woman's child citing hipaa even before she moves in? Older nonmedical sib has poa.

HIPAA strictly: Demands that medical personnel do not discuss medical care issues with anyone but the person designated by the patient. It appears it is not you. Don't get mad at the nursing home, your beloved government came up with the rule. If they are ever found in contempt, the home is fined and potentially taken out of business. So there's that! ...Read more

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