Taking Care of Your Child
Dedication
To our parents, who first taught us about health
To our mentors, Floyd Denny, M.D., and Helen Lamb, who first taught us how to care for children
To innovators in child health, Evan Charney, Floyd Denny, Bob Haggerty, Barbara Korsch, Clarence McIntyre, Terry Reilly, Barbara Starfield, Don Vickery, and Tom Newman, who provide continuing inspiration
To the next generation of leaders, Will Babbitt, Matt Pantell, Alan Schroeder, John Takayama, and Alan Uba
To our children, patients, and their parents, who continue to teach us
Many of the designations used by manufacturers and sellers to distinguish their products are claimed as trademarks. Where those designations appear in this book and Da Capo Press was aware of a trademark claim, the designations have been printed in initial capital letters. For clarity, this book uses many brand-name drugs and medical supplies as examples; the appearance of one brand name does not mean the authors endorse those products over equivalent products.
Copyright 2015 by Robert H. Pantell, James F. Fries, and the estate of Donald M. Vickery
Illustrations copyright 2015 by Perseus Books Publishing, L.L.C.
Design and production by Eclipse Publishing Services
Set in 10-point New Baskerville
Lights Turning Green on pages 113114 2001 Lenore Horowitz. Used with permission of the author
M-CHAT-R on pages 520522 2009 Diana Robins, Deborah Fein, and Marianne Barton
All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the publisher. Printed in the United States of America.
Cataloging-in-Publication Data is available from the Library of Congress
Ninth Da Capo Press edition 2015
ISBN-13: 978-0-7382-1836-6 (E-book)
Published by Da Capo Press
A member of the Perseus Books Group
www.dacapopress.com
Note: The information in this book is true and complete to the best of our knowledge. This book is intended only as an informative guide for those wishing to know more about health issues. In no way is this book intended to replace, countermand, or conflict with the advice given to you by your own physician. The ultimate decision concerning care should be made between you and your doctor. We strongly recommend you follow his or her advice. Information in this book is general and is offered with no guarantees on the part of the authors or Da Capo Press. The authors and publisher disclaim all liability in connection with the use of this book. The names and identifying details of people associated with events described in this book have been changed. Any similarity to actual persons is coincidental.
Da Capo Press books are available at special discounts for bulk purchases in the U.S. by corporations, health plans, institutions, and other organizations. For more information, please contact the Special Markets Department at the Perseus Books Group, 2300 Chestnut Street, Suite 200, Philadelphia, PA 19103, or call (800) 810-4145, or e-mail .
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A Note to Our Readers
The medical advice in this book is provided as a guide, not an exclusive course of action. It is as sound as we can make it; many doctors have reviewed each section. But the advice will not always work. Like any advice, it might be right for most children, but it wont necessarily be right for your child. However, if we dont give direct advice, we cant be helpful. If we do, well sometimes be wrong. So here are some qualifications.
If your child is under the care of a physician or nurse practitioner and you receive advice contrary to this book, follow his or her advice; the individual characteristics of your child and the current problem can then be taken into account.
If your child has an allergy or a suspected allergy to a recommended medication, do not give the medication until checking with your childs health care provider, at least by phone.
Read medicine label directions carefully; dosages and schedules occasionally change over time, and you should follow the most recent recommendation.
You know your child best; do not hesitate to follow your own judgment as to when to seek professional assistance.
If your childs problem persists beyond a reasonable period, you should make an appointment to have your child examined.
BOOKS BY THESE AUTHORS
The Parents Pharmacy
by Robert H. Pantell and David Bergman
The Common Symptom Guide
by John Wasson and Robert H. Pantell
Rudolphs Pediatrics: A Study Guide
by Robert H. Pantell, David Bergman, and Maureen Shannon
Take Care of Yourself
by Donald M. Vickery and James F. Fries
Vitality and Aging
by James F. Fries and Lawrence M. Crapo
Taking Part: A Consumers Guide to the Hospital
by Donald M. Vickery
Living Well
by James F. Fries
Arthritis: A Take-Care-of-Yourself Health Guide
by James F. Fries
The Arthritis Helpbook
by Kate Lorig and James F. Fries
Lifeplan: Your Own Master Plan for Maintaining Health and Preventing Illness
by Donald M. Vickery
Contents
The following parents contributed to the development of this book, and their help was invaluable: Anne and Dave Bergman, Val Blanchette, Nora Blay, Jani Butler, Susan Charles, Libby and Milton Clapp, Linda Collins, David Curtis, Audrie Engbretson, Barbara and Joel Falk, Lee Hall, Mary Ann and Arthur Hanlon, Lenore and Larry Horowitz, Michael Horowitz, Lois Kazmer, Michaline Krey, Shirley Lewis, Irmhild and Matthew Liang, Pit Lucking, Maria Maglio, Elizabeth Mendelsohn, Kay Neumann, Margaret Olebe, Suzanne Pennycook, Rosa Delgadillo Reilly, Kitty and Glenn Roberts, Alexis Rouda, Marni Smith, Tom Stewart, Melissa Thornhill, Heather Van Nostrand, and Anne Wilkins. Many children also have contributed material: thanks to Loren and Matthew Loney; Ciaran and Rylan Jacka; and Matthew, Gregory, and Megan Pantell.
We would also like to thank the following individuals for their assistance, support, and review: Will Babbitt, M.D., M.S.; G. Robin Beck, M.D.; John Beck, M.D.; June Bernzweig, Ph.D.; Irene Cannon, M.D.; Mark Constantz; Doris Denney, R.Ph.; Larry Finberg, M.D.; June Fisher, M.D.; Susan Fisher-Owens, M.D.; Victor Fuchs, Ph.D.; Judy Geisinger, M.S.W.; Dewleen Hayes; Halsted R. Holman, M.D.; Larry Horowitz, M.D.; Charles Irwin, M.D.; Al Jacobs, M.D.; Cynthia Kim, M.D., M.P.H.; Bev Kusler; Catherine Lewis, Ph.D.; Matthew Liang, M.D., M.P.H.; Tom McMeekin, M.D.; Carol Miller, M.D.; Jane Morton, M.D.; Pat Moylan, R.N.; Kris Madsen, M.D.; Jessica Neely, M.D.; Tom Newman, M.D., M.P.H.; Margaret Olebe; Tom Plaut, M.D.; Shirley Rudd, R.N.; John Slane, R.Ph.; Tom Stewart, Ph.D.; Elihu Sussman, M.D.; Alan Uba, M.D.; John Wasson, M.D.; Anne Wilkins; Tom La Rocca, M.D.; Jessica Neely, M.D.; and Matt Pantell, M.S., M.D.
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