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Dr. Gollup's Pediatric Housecall

Dr. Howard Gollup is a board-certified pediatrician with Aurora Advanced Healthcare in Germantown. He cares for children from birth through adolescence. Though he cannot respond to individual medical questions, he welcomes your feedback and suggestions for future topics.

Winter Safety--Avoiding the Worst Bite of Winter

winter safety frostbite hypothermia sledding

Although pediatricians see the bulk of traumatic injuries in the summer months—when kids are out riding their bikes and running around the neighborhood, winter has kid-traps all its own. Even though there hasn’t been snow and ice for very long, I’ve already seen a few casualties typical of this time of the year.

The most frequent snowboarding injuries are forearm fractures, but the most serious are head injuries. I recommend helmets and wrist guards for all snowboarders. I’ve had three patients with snowboarding injuries already—a forearm fracture, a head injury, and a tailbone injury. While there hasn’t been much snow yet, what there is on the slopes can be icy and hard, without the forgiving fluff that a few nice natural winter storms provide.

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My Favorite Developmental "Milestone"

development, pincer grasp, pincers grasp, proprioception

Pediatricians consider themselves to be students of infant and child physical, emotional, and cognitive development. Truly, the dynamic change that occurs through all stages of childhood is a source of amazement. There are so many remarkable changes--what we often call " developmental milestones"--that even professionals can sometimes take them for granted. But here is one of my favorites—one that I would hate for you to miss if you have a baby at home. It has to do with the way infants begin to reach for things, and ultimately start to feed themselves.

By the second to third month of life, babies start to look at their own hands, and begin to realize that those funny structures that seem to be floating out in front of them are actually connected their body. They soon learn they can even control their hand movements! At roughly four months, infants will start to “bat” at objects with their hands. At about five to six months they’ll start to grab objects (and, of course, everything goes right into the mouth).

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