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Doctor insights on: Two Approaches To Raising Children

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At what age do infants learn to bang two blocks together?

At what age do infants learn to bang two blocks together?

6 months: Infants generally start to grasp objects around 5 months of age, and often pass them back and forth between their hands around 5.5 months. Keep in mind that some kids are a little early and some kids are a little late. Plus or minus 1 month or so is still appropriate. ...Read more

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What are some ways to deal with OCD in children age five? 

What are some ways to deal with OCD in children age five? 

Evaulation by a pro: Obsessive thought and compulsive behaviors that result in significant dysfunction is uncommon in it's full form at 5yrs, however people you go on to develop full blown OCD often report very early symptoms. Clearly an evaluation by a good chil;d psychiatrist would be important to determine appropriate treatment. There are many good behavioral and nutritionally based approaches for young children. ...Read more

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Can one benefit from cutting down on their meds they have to take... For migraine prevention... Allergies... Depression... Overall well-being..?

Can one benefit from cutting down on their meds they have to take... For migraine prevention... Allergies... Depression... Overall well-being..?

Not w/o supervision: Less is always better but not w/o the supervision of all physicians involved with your care. Without coordination or care and depending upon the conditions involved some life threatening events could occur. If certain medications are not tapered, seizures could occur which always have the risk of morbidity and even mortality. Even stopping allergy meds can cause problems depending upon condition. ...Read more

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If one avoids exercise all their life, is one prone to muscular atrophy?

If one avoids exercise all their life, is one prone to muscular atrophy?

Use it or lose it: Yes, the human body is very efficient in the way it maintains itself. If muscle is not used, then it will be broken down (atrophied). Likewise you will lose bone density as it responds to lack of mechanical stress as it remodels. ...Read more

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Is the Sonrise approach effective for kids with autism?

Is the Sonrise approach effective for kids with autism?

Because of the: home-based nature of the program, no published independent study has tested the program's efficacy. A 2003 study revealed that involvement with the program led to more drawbacks than benefits for the involved families over time, though there was a strong correlation between patterns of intervention implementation and outcomes. ABA is the only evidence-based therapy with known efficacy. ...Read more

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How many years to cure the febrile seizure's in kids and adults? What r drugs to cure age 6+ and completed 15+ episodes of fits patient's?

How many years to cure the febrile seizure's in kids and adults? What r drugs to cure age 6+ and completed 15+ episodes of fits patient's?

By age 6 yrs: Febrile seizures usually subside by age 6 yr.if they are continuing you need to see a pediatric neurologist,get an EEG and then decide on treatment ...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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Child below one year we can give them honey?

Child below one year we can give them honey?

We don't in the US: I know some fare east cultures like to offer honey as a ritual celebration & wish for success. However, there are often spores(seeds) of botulism germs in the product that can grow in a babies digestive tract and cause infant botulism.This can cause paralysis of the breathing muscle & baby can die. We don't offer honey until after 1yr when it is no longer a problem. ...Read more

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How to relate to younger parents as the oldest one in the school group?

Kids in common: More parents find themselves in this situation, as we delay childbearing until after our careers are established. Most find a natural bond with parents of children the same age as yours. Participate in school and extracurricular activities, and you will find that you can relate with people of many ages. ...Read more

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Are those afflicted with ADHD classified as a 'vulnerable adult'? This is in regard to the 22 year-old grandson of a close family friend who has adhd.Two years ago, two adult men in their late 40's had asked him to move in with them. They immediately bega

Are those afflicted with ADHD classified as a 'vulnerable adult'? This is in regard to the 22 year-old grandson of a close family friend who has adhd.Two years ago, two adult men in their late 40's had asked him to move in with them. They immediately bega

Unfamiliar term: Not sure of the context of "vulnerable adult" as a specific label. Certainly, adhd that lasts into adulthood is associaated with a wide range of increased risk for bad outcomes, and certain individuals with adhd retain a social immaturity that might make it easier for others to prey upon them. However, that is far from universal and more related to immaturity than adhd per se. ...Read more

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Why may ssris "cause suicide in teens, children or young adults"? What about this age cohort makes them different responders to ssris

Why may ssris "cause suicide in teens, children or young adults"? What about this age cohort makes them different responders to ssris

Changing brain: It may be some time before we know. However, the young and adolescent brain is going through dramatic changes in is linkages/interconnections that does not occur after ~ age 25 when the brain reaches maturity. Ssri's at any dose alter neurotransmitters, and its effect on the changing brain is unpredictable even in experienced hands. ...Read more

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Can the elderly be on antipsychotics (risperidone) for years at low doses (1mg) to control behavior?

Can the elderly be on antipsychotics (risperidone) for years at low doses (1mg) to control behavior?

Anti Psychotic meds: It is possible but needs to be managed very carefully as elderly patients metabolize medications differently. ...Read more

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My sister's two children(males)died due to scid(from ada deficiency), should they take another chance?Will this disease occurs in all their children?

My sister's two children(males)died due to scid(from ada deficiency), should  they take another chance?Will this disease occurs in all their children?

This is an autosomal: Recessive condition which means statistically 1in 4 will have the disease. Despite having 2 with ada deficiency, the risk next time is still 1in 4. Prenatal testing can be done. ...Read more

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What are two ways that elderly folks could start to improve their physical health?

What are two ways that elderly folks could start to improve their physical health?

Eat health & exercis: While geriatricians often think of elderly as different than middle-age adults, we still all benefit from same basic ideas, eg eat healthy, exercise regularly & get enough (quality) sleep. Chat w/Family Doc or Geriatrician regularly to review medications & dietary supplements. Don't forget to update immunizations eg new Prevnar-13 plus Pneumovax, TdaP & Zostavax. And stay mentally active! ...Read more

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Hi docs, is it true that prematurely-born children are at greater risk for learning problems later in life?

Hi docs, is it true that prematurely-born children are at greater risk for learning problems later in life?

Not necessarily: If a premature infant has few or no complications of any significance they will grow up with all the brain power they were born with.If one has difficulty during their stay, including prolonged ventilator care, brain hemorrhage, blood poisoning, etc. These issues may injure the brain and cause problems later in life. ...Read more

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At what age can children learn to give themselves insulin injections safely?

At what age can children learn to give themselves insulin injections safely?

Really depends: It depends on when first diagnosed, many of the 1-2 year olds are so used to the injections given by their parents, that they ask to give it a try. I highly recommend that parents take a very proactive and supportive role in their child requiring insulin. By making it a normal healthy routine, the child will not fear it, but recognize its importance to keep the child safe & away from the er. ...Read more

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What are the primary milestones that most children reach at certain points in their 3rd year of life?

3YEARS OLD: They are more inquisitive or questions a lot. Counts to 10 , recognizes color, feeds himself , dresses well and knows how to ride a tricycle. ...Read more