Evernote health link

Wednesday, April 16, 2008

cdc catch up vaccination schedule 2008

WHO 0-5 growth chart for girls



I think a more accurate and valid way to measure the growth parameters for a child in the developing world. Bottom line, american babies are some of the chubbiest in the world, so may not be a great comparison base for "physiologically normal"

Tuesday, April 15, 2008

travel kit recommendations

Travel kit recommendations
Stuff to tide you and the little one over in your travels...
-Tylenol (acetaminophen) liquid preparation for the infant: Approximately 1 to 1 1/2 teaspoons depending on weight.

-Motrin (Ibuprofen) liquid preparation for the infant: Approximately 1 to 1 1/2 teaspoons depending on weight.

-hydrocortisone 1% for itching; hydrocortisone 2.5% for eczema or inflamed itchy skin (this is a prescription only)

-triple antibiotic ointment for topical cuts and abrasions

-Benadryl or diphenhydramine suspension for congestion and some forms of cough, usually not useful for children under 2 yrs of age. (this is the reason many of the otc products have been pulled from the market.)

-thermometer

-bandages

-electrolyte solution, such packaged (powdered) Pedialyte

-infant formula(one cow's milk based such as Similac or Enfamil: No need for lactose-free)

-soy milk based formula if formula intolerance is suspected

-moisturizing cream: (Cetaphil, Eucerin)

-antibiotic alcohol based and wipes
-simethicone drops for infants (often not very helpful and not harmful, and makes you fell like you are doing something)

-Pepto-Bismol for parents

-DEET-based mosquito repellent 10% for the child (more relevant in rural contexts)

-tweezers, scissors, alcohol

-diaper cream (any zinc oxide based product/petroleum)10%-40% (butt paste, AND ointment,

-nystatin or clotrimazole ointment for fungal diaper rash (can be found in local pharmacy foot section), or I can prescribe it.
-earplugs for travel, can be nice to give to people around you and alleviate your discomfort and their discomfort with a crying infant.

I do not think that you need any antibiotics by mouth. Where bacterial infections are suspected, I prefer that the child be examined and treated by a local physician generally. In most countries, some kind of Western based medical clinics are available.
Depending on your preference, I can prescribe anti-scabies medications. Occasionally children are infested with scabies and it certainly improves the quality of life in the first several weeks, if you treat the child. This may also prevent spread to the rest of the family. Please let me know what your preference is.

Saturday, April 12, 2008

Public Forum to Address Safety Issues on Vaccines - New York Times

Public Forum to Address Safety Issues on Vaccines - New York Times

There is a fairly significant distrust of govt and the vaccine industry, and it taps into the real /and imagined risks of vaccinations .To deal with this fundamentally requires trust ,no trust, then no amount of "data" will assuage the true believers of vaccine-autism links. Transparency at every will level I think in the long run be useful and even integral.