Category: Parenting

Dislocated joints and fractured bones aren’t picky about who they affect. Children aged 11 to 15 are especially prone to the latter, as bone mineralization tends to fall behind at this time of growth spurts. This leaves children with bones that won’t take much force to bend or crack, at least until bone growth finally catches up.

Anytime your child suffers a nasty fall or well-placed hit anywhere in the body, getting an X-ray is a good idea. That said, parents should know that X-rays are a form of radiation—and children are susceptible to it. One X-ray session may not seem harmful, but dozens of such sessions in succession might cause problems.

As such, rely on X-rays only when necessary. As to the situations that necessitate an X-ray, that’s what this article aims to discuss.

The Nuts and Bolts of X-Rays

To understand when an X-ray is necessary for your child, you first need a clear idea of how such tests work. X-rays are in the same high-energy grouping of the spectrum as ultraviolet (UV) and gamma rays. Whereas UV radiation can only penetrate up to the deepest layer of the skin, X-rays can reach up to the bones thanks to their shorter wavelength.

You can look up more information on how X-ray tests are done, but the gist is that the X-ray image everyone’s familiar with is produced when bones absorb the radiation. Calcium, the primary mineral in the human skeleton, has the highest atomic number among the other minerals in the body, allowing the bones to show up most prominently in an X-ray image.

Despite a high energy output, X-rays are one of the least intense sources of radiation. A single chest X-ray outputs 0.1 millisieverts (mSv) of radiation. By comparison, the earth your children stand, sit, or lie down on emits 0.21 mSv annually, and people in Denver are subjected to 0.8 mSv of cosmic radiation also annually.

So why are doctors cautious about overusing X-rays? As mentioned earlier, children are susceptible to ionizing radiation from medical or pediatric imaging, of which X-rays are one example. Too many X-ray tests across too short of a timeframe can quickly add up, increasing children’s risk of getting cancer or non-cancerous diseases later in life.

The good news is that today’s X-ray machines are capable of delivering quality imaging with less radiation. Still, authorities continue to advise doctors and healthcare professionals to use as little radiation as possible when screening patients under 21.

Justifying Undergoing an X-ray

When Your Doctor Says So

The most common scenario that endorses undergoing an X-ray is when the doctor or physician deems it necessary to deliver an accurate diagnosis or treatment. In most cases, a doctor’s referral is required before the child undergoes the procedure.

A consultation with a pediatrician before an X-ray is essential for several reasons. For starters, it’s where the medical professional delves deep into the nature of the young patient’s condition. Pain from a hit in the arm or leg may reveal an underlying condition that may be news to the parent and child.

The Food and Drugs Administration (FDA) advises healthcare professionals to reserve X-rays and other forms of diagnostic imaging for last. Instead, they may do the following first:

• Gauge if an examination is necessary to get to the truth of the matter

• Check the patient’s medical imaging history for any existing records

• Consider tests that use far less or no radiation, such as ultrasound or magnetic resonance imaging (MRI)

As a parent, you’d want to ask your doctor and the referred imaging facility as many questions as possible. Always assume that the risks of pediatric X-rays are genuine.

When The Symptoms Are Visible

X-rays are the primary means of getting a complete picture of the source of excruciating pain from an injury. However, doctors can tell when the injury involves a dislocation or fracture through several telltale symptoms, such as:

• The shape of a limb out of place or protruding

• Bruising or discoloration in the affected area

• Having difficulty moving or placing weight on the limb

• Intense and unbearable pain, accompanied by swelling

While the doctor will still require further information, these signs almost guarantee an X-ray examination to follow. They need to see how severely the bone has moved out of its alignment or how deep the fracture is.

Sometimes, X-rays may not show any visible fractures or signs of damage, especially in the wrist area. In such cases, they may order a more thorough scan of the area through a computed tomography (CT) scan or bone scan. If the doctor suspects fractures in the skull, they may not order an X-ray anymore and proceed to a CT scan immediately.

When Other Diseases Are Suspected

X-rays aren’t limited to fractures and other bone and joint problems. They can also be helpful in producing images of diseases affecting certain internal organs, of which three common procedures come to mind.

The first is a chest X-ray, which targets the internal organs within the ribcage, such as the heart and lungs. Its results can help assess a range of heart and lung problems, from foreign bodies inhaled by accident to pneumonia.

Another is an abdominal X-ray, which is used to spot the source of pain in the abdomen and lower back, as well as nausea and vomiting. Conditions that can be diagnosed via this procedure include ingested foreign objects, intestinal blockages, and gallstones.

Finally, there’s the dental X-ray, which produces a two- or three-dimensional image of the jawbone to find problems with the child’s teeth. This is ideal for diagnosing dental conditions like impacted wisdom teeth or root decay. Given that their teeth have a lot of growing to do, children can expect to undergo dental X-rays more often than adults.

When The Doctor Asks for A Follow-Up

Follow-up X-ray exams are relatively common, as doctors need to monitor the progress of the child’s recovery from a disease or injury. As for when the follow-up can be done, the interval can be several weeks or months from the last one. Sometimes, the doctor may not ask for a follow-up at all.

Again, this will require a written referral from the pediatrician, especially if they expect the patient to undergo more X-ray tests than usual.

Preparing Your Kid

An X-ray exam needs no special preparation most of the time. However, at this point, you probably can’t help but need to ascertain your child’s well-being during the exam, which is understandable. At the end of the day, X-rays are still a form of radiation that must be used wisely to prevent complications in the long term.

As such, when your doctor recommends that your kid undergo an X-ray, here are several precautions and preparations worth doing.

Roleplay the Procedure with Your Child

X-rays are a prevalent trope in cartoons, with one common gag involving an unlucky soul getting shocked so badly that their entire skeleton becomes visible. Of course, that’s not how X-rays work, and your child may be none the wiser. Playtime is a great way to set their expectations and ensure a smooth exam.

Consider a roleplay X-ray setting where your child plays the patient getting scanned. Using toys and other media you can purchase at a toy store or online, you can teach your child how to behave during the procedure. Printouts of the part of the child’s body to be exposed to X-rays can be helpful guides.

This is a good idea for children undergoing an X-ray for the first time or those who have done so but aren’t too keen on having to undergo another one.

Dress Up Your Child in Comfy Clothes

Loose clothing is preferable in the radio imaging room that houses the X-ray machine. This can help your child stay calm and comfortable during the procedure, which won’t take longer than 15 minutes on average. Depending on the target part of the body, the radiologist may ask your child to wear a gown for the exam.

Avoid getting your child to wear anything that can affect the imaging results, such as metal accessories. If they insist on wearing accessories, make sure to take them off and hold onto them until the exam is finished.

Be advised that the radio imaging room will be cold, something your child may need to bear for the duration of the exam. The room is kept that way because X-ray machines and other equipment emit lots of heat when in use.

And that’s about it. Unlike a CT scan or ultrasound, there’s no need for your child to fast several hours before an X-ray. After the exam is done, they can proceed with their usual routines and even enjoy any meal they like. They mostly won’t feel a thing, all thanks to advances in diagnostic imaging technology over the decades.

Wrapping Up

Despite X-rays being one of the safest means of assessing bone and organ health, it’s important not to underestimate their potential side effects. Always seek professional advice from your child’s doctor or pediatrician to determine whether or not your child needs an X-ray. If any side effects manifest, contact your doctor immediately.

Every parent wants a healthy and fulfilling life for their child. Among the many things you can do to gift your loved one this type of life is to choose only the best pediatrician around to cater to them. But you may wonder: how do I separate the wheat from the chaff? Exploring the essential qualities can help you choose right.

From their expertise to their approach, the ideal a child-centric pediatrician can make all the difference in your child’s health journey.

Credentials and Experience

Parents should consider a pediatrician who is not only medically qualified but also understands the broader health needs of children. In complex situations, patient advocacy becomes vital. Advocates play a crucial role in supporting families by helping them understand medical information and navigating healthcare systems efficiently. If you feel overwhelmed, it’s wise to find patient advocates who can assist in decision-making processes, ensuring your child’s health needs are properly addressed.

• Board certification: Ensure the pediatrician is certified by the American Board of Pediatrics (ABP) or a similar body if you’re outside the U.S. This certification means they’ve completed specific training and passed exams that validate their expertise in child health care.

• Medical school and residency: Knowing where your pediatrician trained can give you an idea of their medical education background. Top medical schools are often associated with rigorous training programs, but excellent pediatricians come from a wide range of schools.

• Fellowships or additional training: Some pediatricians undergo additional training in pediatric specialties such as pediatric oncology, endocrinology, or pulmonology (which could be particularly relevant if your child has asthma). This extra training can provide deeper expertise in specific areas.

• Licenses: Check that the pediatrician is licensed to practice in your state or region. This ensures they meet regional standards and are legally permitted to provide care.

• Professional memberships: Memberships in pediatric associations, such as the American Academy of Pediatrics (AAP) or its international equivalents, indicate that a pediatrician is committed to staying current with the latest advancements and standards in pediatric care.

These credentials are signs of a pediatrician’s dedication to their field and commitment to providing the best possible care for children.  Parents should consider not only pediatricians but also the importance of choosing the best family doctor. A reputable family doctor offers accessible health services and extensive advice when making crucial health decisions, accommodating the whole family’s unique needs.

Find a trusted family care physician to better manage health from infancy to adulthood.  Consider asking about these qualifications during your initial consultation.

Office Environment and Staff

Hospitals might not be a comfortable place for your child. That’s why getting a friendly pediatrician and hospital should be a top priority. Look out for the following:

• Child-friendly atmosphere: When you visit, notice if the office is welcoming to children. Are there books, toys, or a play area? Such amenities can make waiting times less stressful for both you and your child.

• Staff interaction: Pay attention to how the staff, including receptionists and nurses, interact with children and parents. Are they patient and kind? The first faces you see often set the tone for the entire visit.

• Efficiency and organization: Observe how the office operates. Is it well-organized? Do appointments run on time? An efficiently managed office can reduce wait times and improve your overall experience.

• Cleanliness and safety: Check for cleanliness. A clean environment is vital for preventing the spread of germs, especially in a pediatric setting.

First impressions do matter. If your gut feels like something is off, do not ignore it. Inquire.

Office Location and Hours

When it comes to office location and hours, the following should come to mind:

• Proximity: Choose a pediatrician whose office is close enough to your home, work, or child’s school. This can make it way easier to get to appointments without disrupting your day too much.

• Accessibility: Consider how easy it is to get to the clinic. Is it a simple drive? Is parking available? How about public transportation options?

• Office hours: Look for a pediatrician who offers hours that match your availability. If you work traditional hours, early morning, late evening, or weekend availability can make a huge difference.

• Emergency after-hours service: Does the practice offer a way to consult the pediatrician or a nurse after hours? Some practices have an on-call service for emergencies.

Convenience matters. You’ve got to think through the different scenarios here then make your decision.

Hospital Affiliations

The hospital that your pediatrician is affiliated with counts. When out scouting, you should focus on the following:

• Quality of the hospital: Check the reputation of the hospitals where the pediatrician can admit patients. You should specifically aim for hospitals with accredited pediatric departments.

• Continuity of care: It’s advantageous if the pediatrician can see your child in the hospital. This continuity helps in managing your child’s care since they are already familiar with your child’s health history.

• Insurance coverage: Health emergencies or even routine procedures can be quite a shocker when it comes to costs. That’s why you’ve got to make sure the hospitals are covered by your health insurance plan to avoid unexpected costs.

Quality is something you shouldn’t compromise on. In some cases you may find it to be a little bit on the pricier end (depending on the scope of your insurance coverage), or may be busier than other present solutions. But if it can guarantee your child’s health, that may be a very small price to pay.

Communication Style

How a pediatrician addresses your concerns should be a dealbreaker. Focus on the following:

• Clarity and patience: Does the pediatrician take time to explain diagnoses and treatments in a way you can understand? It’s important they are patient, especially when addressing your concerns or explaining health issues to your child.

• Empathy and understanding: Evaluate whether the pediatrician shows genuine care and empathy towards your child. A supportive and kind approach can significantly ease a child’s anxiety about doctor visits.

• Engagement: Does the pediatrician engage with your child directly? Pediatricians who speak directly to children, making them feel heard and important, can make the overall experience way better for the child.

How a pediatrician approaches your child can set the tone for the whole experience. Remember, your child may not be feeling too well by the time they go to the hospital. Or maybe they are just plain anxious.

A disinterested pediatrician, or one who doesn’t take the time to approach your child at their level, will only add to the anxiety and maybe make things significantly worse.

Availability for Emergencies

Things happen when it comes to kids. That’s why you should plan for emergencies when choosing a pediatrician.

• After-hours services: Determine what the protocol is for after-hours situations. Can you call a dedicated number, or is there a nurse hotline? Knowing you have a plan in place can relieve stress during unexpected illnesses or other medical emergencies.

• Telehealth options: Check if the pediatrician offers telehealth services for non-emergency consultations after hours. This can be especially convenient for addressing minor concerns or getting advice without needing an in-person visit.

• Response time: Ask about typical response times for emergency calls or emails. Knowing how quickly you can expect an answer can help manage anxiety when urgent situations arise.

• Coverage: Find out if there is always a pediatrician on call, even when your primary pediatrician isn’t available. Continuous coverage ensures that professional advice is just a phone call away, regardless of the time or day.

Emergencies don’t choose a time. So, make sure you’re prepared for anything at any time by getting involved with experts who are prepared for anything at any time.

Patient Reviews and Recommendations

Other patients who’ve been to a facility can tell you a lot more than what websites, brochures, and even personal visits may be able to reveal. Look out for the following:

• Online reviews: Search for reviews on websites like Healthgrades, Google, or even Facebook groups dedicated to local parents. Look for comments about how the pediatrician handles various health issues, their approach to treatment, and overall satisfaction.

• Community feedback: Talk to other parents in your neighborhood, at your child’s school, or in parent groups. They can offer personal anecdotes and insights you might not find in online reviews.

• Consistency in feedback: Look for patterns in reviews. If several people praise the pediatrician’s ability to engage shy children, it’s likely a strong point. Similarly, repeated concerns about long wait times might be a valid red flag.

• Specific praise or concerns: Note any specific praises or concerns relevant to your child’s needs. For example, if your child is anxious about doctor visits, a pediatrician known for their calming manner might be ideal.

When most of the feedback praises a pediatrician or a hospital, the odds are high that it’s a good place. Do your own research and make an informed decision.

Philosophy on Health Care

What’s the pediatrician’s philosophy on care? Focus on the following:

• Initial consultation: Use your first meeting to discuss the pediatrician’s views on health care extensively. Ask about their approaches to preventive care, treatment options, and routine health checks.

• Vaccination policy: Since vaccinations are a fundamental part of child healthcare, understand the pediatrician’s stance. If vaccinations are a priority for you, ensure the pediatrician supports the standard immunization schedule.

• Approach to antibiotics and medications: Some doctors prefer a conservative approach to medication, while others might prescribe more liberally. Clarify their policies to ensure they match your comfort level regarding medicinal interventions.

• Handling of developmental concerns: Ask how they approach developmental screening and issues. Whether it’s language delays, behavioral challenges, or learning difficulties, ensure their methods and resources align with what you believe is best for your child.

• Holistic and alternative treatments: If you’re inclined towards a holistic approach, check if the pediatrician is open to integrating alternative treatments with conventional medicine. This might include dietary advice, natural remedies, or referral to specialists like chiropractors or acupuncturists.

Discussing these aspects can help you gauge whether the pediatrician’s healthcare philosophy sits right with your family’s health journey.

Closing Thoughts

Choosing the best pediatrician for your child can be the best investment you ever make concerning their health. Research all the options out there and settle for the one that meets your criteria and safeguard your little ones’ health.

Establishing a healthy night routine with your children is essential for their overall well-being, including physical health, mental clarity, and emotional stability. The habits you create around bedtime not only promote better sleep but also help your kids feel secure, calm, and ready for the next day.

A well-thought-out routine can also provide opportunities for bonding and creating special moments together as a family.

Start with a Relaxing Wind-Down Period

The key to any successful bedtime routine is helping your child unwind before sleep. Children, like adults, need time to transition from the excitement of the day to the calm needed for rest. To make this wind-down period effective, it’s important to minimize stimulating activities. Instead, try activities like reading a book together, engaging in quiet conversation, or even practicing gentle stretching or deep breathing exercises. Creating a consistent wind-down period signals to your child that bedtime is approaching, making it easier for them to fall asleep.

Establish a Regular Bedtime

Consistency is vital when it comes to bedtime routines. A set bedtime helps regulate your child’s internal clock, making it easier for them to get sleepy at the same time each night. By ensuring they go to bed and wake up at the same time daily, you can help them develop healthy sleep patterns. Ideally, children need between 9 to 12 hours of sleep depending on their age, so make sure to adjust their bedtime accordingly. Even on weekends, try to stick to the established routine to prevent their sleep schedule from getting out of sync.

(photo credit: Microsoft Stock Images)

Implement Calming Bedtime Hygiene Habits

Good hygiene habits are essential for children’s health and are a great way to transition into sleep mode. Bathing your child in warm water can be soothing and help them relax before bed. Brushing teeth is another crucial aspect of the routine that reinforces good dental hygiene practices early on. For older kids, maintaining their oral health is particularly important, especially if they are approaching a stage where they may need wisdom teeth extraction, or similar dental procedures. Proper bedtime hygiene sets a positive tone for long-term healthy habits.

Encourage Positive Conversations and Emotional Reflection

Nighttime can be an excellent opportunity to connect emotionally with your child. Before turning out the lights, spend a few moments talking about their day. This could be a time to reflect on things that made them happy or to address any worries or anxieties they may have. Simple questions like, “What was the best part of your day?” or “Is there anything you’re thinking about right now?” can foster open communication and emotional security. These conversations help children feel heard, which can reduce stress and promote more restful sleep.

A well-structured night routine promotes better sleep and creates lasting habits that contribute to your child’s overall health and well-being. From setting a consistent bedtime to fostering emotional conversations and maintaining proper hygiene, each step plays a role in ensuring your child gets the rest they need.

To learn more, check out this infographic:

A-Healthy-Night-Routine-With-Your-Children
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When it comes to outdoor child safety, it’s all about being proactive and creating a fun yet secure environment for little ones to play and explore, The great outdoors is bursting with opportunities for kids to get active and engage in creative play, but some potential risks can lead to injuries or accidents.

By applying a few simple strategies to make your yard safer, parents can help ensure that their kids enjoy a whole lot of outdoor fun safely.

1. Install Secure Fencing and Gates

One of the best ways to promote outdoor child safety is to create a fenced-in area in your yard. Make this part of your yard safety checklist. A sturdy fence gives your kids a defined space to run around and helps keep them away from potentially risky areas like busy streets or neighboring yards. It’s essential to ensure the fence is tall enough to dissuade climbing, and that all gates have secure locks placed high enough so little hands can’t reach them without adult help.

2. Properly Store Hazardous Chemicals

It’s vital to childproof your garage and yard. Many garages and yards have potentially hazardous materials like lawn chemicals, cleaning supplies, and tools. Store these items securely to keep outdoor playtime safe. Parents can store chemicals in high cabinets or locked areas that kids can’t access. For example, maintaining lawn care products in locked cabinets helps prevent curious little hands from coming into contact with anything dangerous. Plus, ensure all tools are stored in a designated area away from play zones.

3. Cover Sharp Tools and Equipment

Leaving tools and equipment scattered around can pose a hazard to children. Make a habit of putting away sharp items like garden shears, rakes, and lawnmowers right after you use them to keep children safe. Using tool covers or designated storage is a great way to keep everything out of reach. Bigger equipment like lawnmowers can be stored securely in a locked garage or shed whenever possible. Doing so not only keeps kids safe but also reduces the chances of accidents if someone gets distracted.

4. Create a Safe Play Area

It’s beneficial to carve out a special spot in your yard specifically for play, free from any potential hazards. Consider removing anything sharp, like stones or broken glass that could cause injuries. Soft materials such as mulch or rubber mats make excellent ground cover to cushion falls. By using landscaping to create boundaries, kids can enjoy freedom while still staying within a safe area.

5. Educate Children on Safety Rules

While making the yard safe should be a part of your security plan, teaching kids about safety rules is equally crucial. Help them understand the importance of following these rules to avoid accidents. For example, explain why they should avoid playing with fire, sharp tools, or heavy equipment unless an adult is around. Regularly reviewing these safety rules empowers children to make wise choices while they’re having a blast outdoors.

6. Use Safe Alternatives for Pest Control

Protecting your kids against allergens and toxins is a big part of outdoor child safety. You might not realize that many chemicals used to eliminate weeds, pests, and rodents can be harmful to children and pets. To ensure a safe outdoor environment, consider swapping out traditional pesticides and herbicides for safer alternatives. Natural solutions like vinegar, baking soda, and essential oils can deter pests without posing any risks to kids. By going eco-friendly, parents can protect their children, pets, and neighbors, and benefit the environment too.

7. Encourage Adult Supervision

Even with all the safety measures in place, nothing beats the importance of adult supervision when it comes to outdoor child safety. Parents need to be present while kids play, especially in areas that might have potential dangers. Checking in on them regularly can prevent mishaps and enable adults to address any safety concerns immediately. Plus, joining in on outdoor activities with them is a great way to reinforce safety while having fun together.

8. Create a First Aid Station

Accidents can happen even in the safest environments, so it’s great to be prepared. Proper preparation can go a long way toward promoting child safety at home. Consider setting up a first aid station in your garage or yard stocked with essentials like band-aids, antiseptic wipes, and gauze. Having some basic first-aid knowledge can go a long way in handling minor accidents when they occur. This proactive approach enhances outdoor child safety and gives parents peace of mind.

9. Regularly Inspect the Outdoor Area

Outdoor settings can change due to weather, wear and tear, or seasonal shifts, so checking your yard regularly for any hazards is a good idea. Take a look for broken fences, fallen branches, or anything that might pose a risk. Keeping the play area tidy and well-kept ensures that kids can enjoy safe outdoor adventures.

Outdoor child safety ensures our children can enjoy their exploratory adventures without unnecessary risks. By implementing key strategies such as supervision, setting boundaries, and educating children about potential hazards, we can create safe and enjoyable environments for play. Encouraging outdoor activity remains vital for their development, and with the right precautions in place, we can help them thrive while fostering a love for nature and exploration.

About the Author
Katie Brenneman is a passionate writer specializing in education, mental health, family lifestyle and online safety. When she isn’t writing, you can find her with her nose buried in a book or hiking with her dog, Charlie. You can follow her on Twitter.