The Newsletter of Chestnut Ridge PediatricsSpring 2013 In this edition... ▪ New Recommendations on Food Allergies▪ Kids and Dogs - A Perfect Match

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The Newsletter of Chestnut Ridge Pediatrics

Spring 2013

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In this edition...

New Recommendations on Food Allergies
Kids and Dogs - A Perfect Match
Nominate a Chestnut Ridge Pediatrics doctor as a "NJ Family" Favorite Kids Doc
Chestnut Ridge Pediatrics - Over 40 Years in Woodcliff Lake!

Summer is just around the corner - be sure to call the office (201 391 2020) and schedule camp physical appointments to get physical forms completed in time!

We wish everyone a healthy spring, and don't forget the sunscreen!

Chestnut Ridge Pediatric Associates

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New Recommendations on Food Allergies

New research on the development of food allergies has shown that babies can safely tolerate highly allergenic foods such as cow’s milk, eggs, peanuts and tree nuts, soy, wheat, fish, and shellfish when introduced into their diets after they are aged 4 months and after foods such as cereals, fruits, and vegetables have been given. This is a change from previous recommendations that the introduction of potentially allergenic foods be delayed until one year of age or beyond.

Currently there is no evidence to suggest that delaying solid foods beyond 4 to 6 months will prevent allergic disease. Some studies have shown that delaying the introduction of highly allergenic foods may actually increase the risk of developing food allergy or eczema.

Chestnut Ridge Pediatrics supports this new evidence and the new recommendations. Please discuss the introduction of foods to your infant at the appropriate appointments with your health care provider.

For further information on this new research, read this article.

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Kids and Dogs - A Perfect Match

From award-winning dog trainer Kathy Santo, here's a great article on kids and dogs. Thanks, Kathy!

Dogs and kids have been immortalized in movies and on television for decades. Whether you remember Petey from The Little Rascals, Lassie and Timmy, Benji, Beethoven, or Clifford the Big Red Dog, the images of kids hugging and kissing dogs are burned in our minds. For dog trainers, that imagery make us cringe because we see the sometimes-tragic results of the non-movie-non-scripted interactions.

Last year, a woman became a student of mine because her 5-year-old spaniel bit her grandson in the face. The dog was sleeping next to her chair at Thanksgiving dinner and the child ran up behind him and grabbed his neck to give him a hug. Without a sound, the dog turned and bit him in the face. Eighty-six stitches later, the family called me. The next day, their vet found that the dog had a punctured eardrum, a raging double ear infection and a cracked rib. This was a dog in tremendous pain, but no one was aware of it. Had they understood dog body language, noticed a difference in his behavior over weeks preceding Thanksgiving (they did) and taken him to the vet (they didn’t) and had taught their children proper dog-kid interaction and supervised any and all movement of the child, their Thanksgiving wouldn’t have been cut short with a visit to the ER.

This topic is so important that all my classes include teaching dog body language interpretation and dog/child safety tips. Here are some ideas for helping the children and dogs in your life have a happy, safe and harmonious relationship.

Babies and Dogs 101

When baby arrives home, most parents are eager to introduce their new arrival to the dog, but the truth is that this is not the high risk period. After the first 8 weeks, we get into a much more difficult stage. Jen Shryock, B.A., CDBC of Family Paws Education is, in my opinion, the best source of information on his topic. Her wonderful programs “Dogs and Storks” and “Dog and Baby Connection” help educate parents and parents to be.

“Pat The Bunny” (but not the doggie). Parents tend to teach their babies to “pat the doggie”, believing that if the intention behind the action was loving, then it would be interpreted that way by the dog. That’s not true, especially if the dog is unsure or wary of the child. In addition, children can become magnetized to dogs and once they’re toddlers they see dogs as friendly creatures to run up to and hug. That can scare small and large dogs alike, and then things can go terribly wrong. When my children were little, I taught them to admire dogs from a distance.

Tips for those of you with children 2 yrs of age and older:

Do As I Do

Telling your kids to keep their face away from the dog when they see you kissing the dog on the mouth and holding it against your face like a baby is a guaranteed way to undermine your words. Kids mirror what the adults in their lives do, so if you must “kitchey koo” your dog, do it when the kids are in bed.

“How Would You Like It If…?”

Teach your kids to understand how to interact with their dog in a way that they can relate to: “If you don’t like it – a dog probably doesn’t either!” That means don’t take their toys/stuff, don’t stick your hands in their food, keep your face away from theirs, don’t squeeze them, lay on them or try to ride them, don’t wake them up while they’re sleeping, and don’t scream and yell around them. And lest you think this is a one-time talk, think again. As the kids grow and change, you need to keep reiterating the rules, interpreting the dog’s body language for them, and giving them feedback (positive and negative) on their interactions with the dog.

Learn to Recognize The Signs.

If you can’t recognize when your dog is stressed, then you can’t teach your children to recognize it either. Find a reputable trainer in your area who teaches interpretation of a dog’s body language so you know what your dog is trying to tell you. A dog’s breathing changes, closed mouth, lip licking, and turning it’s head away from you all mean something. “Supervising” your dog and child’s interactions means not only watching them, it also means being able to understanding what you’re looking at and intervening if necessary.

At this point, you’re probably thinking “ Hey! I got this dog for my kids. What CAN they do with the dog?” Here’s a list of interactions that can be mutually fun for both child and dog. Please note that all children and dogs should only have SUPERVISED interactions. You need to be watching to make sure that the child and the dog are having an enjoyable experience. A good moment for your child may not translate into a good moment for your dog. The minute that happens, you need to intervene.

Fetch! As long as you’re there to make sure that the dog doesn’t knock the child down to get the toy and that the child doesn’t wrestle the toy from the dog’s mouth, fetch is a fun game for both kids and dogs. I teach “fetch” in my training classes, which, by the way, is another great opportunity for your child to grow a relationship with the dog – at dog school! I run a Kids Only! training class, but I also encourage kids to participate in regular classes with their parents.

Go For A Walk. You can hold one leash on the dog’s primary training collar, and your child can hold a second leash attached the dog’s second collar. Yes, I know your dog normally only has one collar, but for this exercise, add another one! That way, you have the control and your child has the experience/pride of walking his dog.

Tricks. Teach your dog a few tricks (with or without your child’s help). A dog that shakes, rolls over and “speaks” can earn food rewards by doing a behavior that the child will love to ask for.

Your Child: The Human Pez Dispenser. If your dog sees your child as a source of rewards (food), your dog is more inclined to engage your child with behaviors that you’ve taught your dog (for example: sitting politely) will earn him food.

Hide Out/Rescue Me. My kids loved to play this game when they were little. They’d hide (and have a really fabulous food reward with them) and I would send the dog to “Find Them!” When our dog found them, they’d stand up, ask him to sit and give him the treat. Their giggling may have helped the dog find them, but no matter. Everyone had a good, safe and fun interaction, which is, after all, why you got a dog in the first place!

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Nominate a Chestnut Ridge Pediatrics doctor as a "NJ Family" Favorite Kids Doc

Do you think Dr. Mandel is the bee's knees? Think Dr. Stoller is the cat's meow? Love Dr. Berkowitz's bow tie and quick wit? Here is your chance to let NJ know!

New Jersey Family magazine is currently accepting nominations for its 2013 list of exceptional children’s doctors and pediatric specialists. Click here to nominate your favorite Chestnut Ridge Pediatrics doctor!

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Chestnut Ridge Pediatrics -

Over 40 Years in Woodcliff Lake!

Did you know that Chestnut Ridge Pediatrics was founded in 1961 and has been in Woodcliff Lake since 1970?

One of the great pleasures of being in practice continuously is seeing children of our former patients - and occasionally grandchildren! An added pleasure is taking care of children from families in which both parents were our patients!

Do you have any fond memories of Chestnut Ridge Pediatrics from years ago? If so, we'd love to hear your stories. Feel free to drop us a line or contact us through our website. Best story wins lunch with our senior doctor and seer, Dr. Berkowitz!

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"Like" Us on Facebook

Chestnut Ridge Pediatrics has our own Facebook page! We encourage you to "like" us on Facebook , where we will post important office announcements, office closings due to inclement weather, interesting pediatric-related links, and other important information.

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