let’s talk squash when fevers rise · many people have never heard of a chest wall deformity, and...

1 S P R I N G 2 0 1 3 F A M I L I E S F I R S T

SPRING 2013

Children’s

LET’S TALK SQUASH

WHEN FEVERS RISEBE AN ALL STAR

BACKYARD SAFARI

A P U B L I C A T I O N O F W A K E M E D C H I L D R E N ’ S 2

taste of the garden Do you garden? Or do you dream about it? Whether you start with one item ormix a few together, you don’t need to be an expert to dig right in. To get youstarted, WakeMed dietitians, local farmers and chefs will weigh in on one featureditem in upcoming issues of Families First.


Let’s Talk About Squash! Crookneck, straightneck, patty pan and zucchini are all great squash options to plant in the spring for summer harvest. You can also plant winter varieties at the same time for two bountiful seasons of fresh squash.

Create a Calendar + Journal

March is National Nutrition Month and a great time to start your plan for April planting.Summer squash will be ready in 60 days, and winter varieties will take closer to 95 days.Create a family calendar with key tasks and leave space to journal as you go. This willhelp improve your green thumb and make lasting memories. Be sure to take photos!

Watch Out for Pests

You need to be aware of two common pests. Squash Bugs, which are grayish brown witha flat, shield-shaped back, should be removed and dropped in soapy water. SquashBorers, orange and black moth-like bugs, crawl into the base of the stem and can kill theplant. Watch for sawdust-like droppings around the stem. Remove the borer by slittingthe side. If eggs are spotted on stems or under leaves, gently remove and destroy themby rubbing the eggs between your fingers.

Naturally repel pests by planting radishes, nasturtiums and marigolds near summer andwinter squash varieties.

Harvest & Enjoy!

Harvest summer squash when they are 6 to 8 inches long and the base is 4 to 5 inchesaround. Squash should be cut off the vine, leaving some of the stem on the fruit. Pullingthe fruit may damage the stem.

If you want to pick them earlier or later, no problem! Just try not to skip more than threedays. Baby squash are best for steaming, and fully mature squash are better for baking.

C O N T I N U E D


Tips from Farmer Lisa

Lisa Sluder, mother of two and farmer atRaleigh City Farm, loves to givegardening advice, and she is a wealth ofinformation. Below are her top tips forsuccess with squash.

• Plant summer and winter squash onApril 15 (after the last freeze)

• 2 plants are adequate for a family offour - sow 4 to 6 seeds; thin to the 2 strongest

• Plant directly in the ground on a hill ormound of dirt with 2 ft. betweenplants

• Leave 3 ft. between rows of summersquash; 6 ft. between rows of wintersquash

• Squash are sun lovers and need moist(not soggy) soil

• Water the soil (not the foliage) toprevent mildew

• Add a layer of mulch (hay, straw oreven chopped leaves will work)around the roots once the plant isestablished

• Expect to harvest 2 to 5 squash offeach plant every other day for 6 to 8weeks

• Plan to wear gloves and long sleevesbecause the leaves can be prickly

Visit the Farm

Join Farmer Lisa for a tour or volunteerworkday. She schedules children’sgroup visits and service projectsthroughout the year. They also sell seasonal produce. Check details atwww.raleighcityfarm.org or email herdirectly at [email protected]

Get the Scoop!

Watch for a summer update on whichflowers to pick, when to harvest, andsome serving suggestions for theblossoms and the seeds. Follow alongvia our blogs and WakeMed Children’sFacebook page for lots of healthyinformation between issues of Families First.


Any Way You Like• Bake It – Use up extra squash by baking into

casseroles to freeze

• Grate It – Add to pancakes, muffins, breads and cakes

• Stuff It – Hollow and fill with lean meat; use it as a boat for any baked side dish

• Slice It – Slice or julienne and use as a toppingfor salads

• Dip it – Slice and pair with low-fat ranchdressing or hummus

• Grill It – Cut into length-wise strips and placedirectly on the grill

• Store It – Store summer squash a couple dayson the counter or a week in the refrigerator

• Freeze It – Frozen squash can be a bit mushyand is best for baking or soups

• Give It – Share your harvest! It’s a great reason to see your neighbors.

“Remember to offer new foods many times as kidsdo not always like foods the first time around,” saidAmy Bowen, WakeMed dietitian. “In fact, it maytake up to a dozen times for a child to accept anew food.”

Squash make a great addition to your daily meals.Bowen lists a few benefits below:

• Low in calories (20 calories in ½ cup)

• Good source of vitamin C (½ cup provides 15percent of the daily recommended amount)

• Provide vitamin A (improves vision), dietary fiberand potassium

Grow & Learn

Think of ways to incorporate other lessons aroundsquash. Teach your little ones how to pronounceand spell it. Measure them, weigh them and countthem as they grow. The most important tip from allthe experts? Let the kids help!

Put On Your Chef Apron

Chef Chad McIntyre, father of two girls and ownerof Market Restaurant in Raleigh, says the sky is thelimit when it comes to squash. For a quick, make-ahead crowd pleaser, he recommends a dish thatdoesn’t require 10 trips to the store for specialingredients. Best of all, it just takes six easy steps.

Squash Picnic Salad1. Wash and cut 6 to 8 crookneck or straightneck

squash in long slices to fit on an oven sheet orgrill rack.

2.Spread squash on a towel and sprinkle with ateaspoon or two of salt.*

3.While salt weeps water out of squash, cook 4 servings of wild rice or quinoa (cool and chill).

4.Lightly dab the water off squash and sprinklewith black pepper.

5.Bake at 425ºF or grill for 10 minutes or untillightly browned (don’t overcook).

6.Toss chilled rice or quinoa with squash, balsamicvinegar, and a light salad-grade oil (to taste) withyour choice of herbs and other veggies.

Easily serves 4 or more. Vegetarian & Gluten Free

Make a Rainbow Salad! – “You can get creativewith what you’ve got,” said Chef McIntyre. “Make itas colorful as you can and play around withdifferent flavors.” Toss in tomatoes, cucumbers,parsley and a little feta cheese. Or try cilantro andpeppers with lemon or lime juice instead ofvinegar.

*Salt Tip

Chef McIntyre prefers kosher salt for flavor andsays it’s easier to use less because you can see thegranules. You’ll be adding vinegar later so don’toverdo it. Go easy and use just a little salt to pullthe water out of the squash to help prevent amushy texture. The dish is best when the squashare a little crunchy.

Many people have never heard of a chestwall deformity, and even fewer have heardabout the corrective surgeries. “That’sbecause they are not that common, but weevaluate children with chest wall deformitieshere almost daily,” says J. David Hoover, MD,pediatric surgeon at WakeMed Children’s.

Chest wall deformities are developmentalanomalies that occur in childhood duringgrowth and development. They are notusually present at birth. “It does run infamilies, but there isn’t anything you can do to prevent it,” said Dr. Hoover.

J. DAVID HOOVER, MD, FACS AND J. DUNCAN PHILLIPS, MD, FACS, FAAP, OF WAKEMED SPECIALTY

PHYSICIANS – PEDIATRIC SURGERY, HAVE THE LARGEST CHEST WALL DEFORMITY PRACTICE IN

THE STATE AND SEE PATIENTS FROM ACROSS NORTH CAROLINA. THEY FOCUS ON MINIMALLY

INVASIVE APPROACHES AND PROVIDE A NUMBER OF SURGICAL OPTIONS TO MEET THE

INDIVIDUAL NEEDS OF PEDIATRIC PATIENTS.

Get Checked Early

Parents may notice their child has a caved-in or protruding bird-like chest, but young kidsusually aren’t bothered by it. “Older children and teens may notice a change, but some won’tsay anything,” said Dr. Hoover. Parents may notice they are shying away from social settingssuch as pools or shared dressing areas.

“It is best to see children as early as possible,” said Dr. Hoover. He has seen patients as young as6 years old. Early cases of some chest wall deformities (specifically those described as ‘birdchest’) can be treated with a brace to eliminate the need for surgery.

A common misconception is that children will grow out of the defect. “In fact, most do not,”said Dr. Hoover. “They may not get worse, but we usually see the defect getting morepronounced in older, untreated children.” As the chest wall stiffens, corrective options arereduced.


Children & ChestWall Deformities


Surgery is typically done during the mid-teen years,but earlier interventions are recommended at timesfor younger children who are very symptomatic.Once corrected, recurrence is not very common.

Associated Symptoms

Some children do not have any noticeablesymptoms. However, some may develop pain,trouble breathing or exercise intolerance. It may be caught during an athletic physical or by apulmonologist examining a child with symptomssimilar to asthma. Symptoms may be due tocompression of the heart and/or lungs.

If a child needs surgery, a bar will likely be used tocorrect the sternum. Many children report relieffollowing surgery. “One young patient could notrun down the office hallway before surgery,” saidDr. Hoover. “In our follow-up appointment, hecould push me down the hall.”

Two Types

Pectus excavatum is an abnormal configuration ofthe chest, where the sternum (breast bone) pushesinto the heart and lungs. This gives the chest acaved-in or sunken appearance.

Pectus carinatum is a forward protrusion of thesternum (breast bone) and/or ribs. This is describedby some as a bird-like chest appearance.

Child life specialists at WakeMed engage children incalming activities and provide tours before surgery.

J. David Hoover,MD, FACS

Dr. Hoover joined theWakeMed Children’steam in 2012, enablingthe hospital to offeraround-the-clocksurgical services

provided by one of three fellowship-trainedpediatric surgeons. Dr. Hoover works with J. Duncan Phillips, MD, surgeon-in-chief of the WakeMed Children’s Hospital, and George Wadie, MD.

He most recently held the position of medicaldirector at Jeff Gordon Children's Hospital inConcord, NC, where he was responsible for thegrowth and management of a multidisciplinarypediatric subspecialty practice. Hesimultaneously served as a pediatric surgeon forCarolina Pediatric Surgery, also in Concord.

Since 1994, Dr. Hoover has traveled to TenwekHospital in Kenya, East Africa, as a visitingsurgeon. In addition, since 1997, he hasvolunteered at Young Life's Windy Gap youthretreat center as camp physician.

Dr. Hoover has been on the other side of thepatient bed at WakeMed when his son requiredseven weeks of care in the Neonatal IntensiveCare Unit.

“I really saw the WakeMed Children’s Hospital inaction from a different perspective, and itopened my eyes to the continuum of care thatfamilies truly receive here every day – I’m proudto be a part of this growing multidisciplinaryteam,” said Dr. Hoover.

WakeMed Specialty Physicians – Pediatric SurgeryAdvanced and minimally invasive surgicalprocedures for newborns, infants, toddlers,children, and adolescents.

WakeMed Raleigh Campus 919-350-8797

WakeMed North Healthplex 919-350-1604

Learn MoreInformation for parents is available on the pediatric surgery page atwww.wakemedphysicians.com.

Explore high and low, in and out, up and down – find a treasure that’s...

• round and smooth• small and soft• long and spiky• big and tough• a high-flier• a creepy-crawler• a beautiful smell• a happy color• a secret place

• Keep your eyes open for leaves to collect and sort

• Shake out a bush and see what insects you can find

• Look for (but don’t disturb) bird and squirrel nests up in your branches

• Hunt down old pine cones andgumballs. What's inside?

Explorers’ Pack

Every explorer needs a bag full of tools to hunt for treasures. Don’t forget your…• Old spoon for digging• Ruler for measuring up• Journal and pencils to record and

sketch• Plastic baggie or tub to collect

specimens and treasures• Piece of rope for all kinds of adventure• Bandana to wear, haul, clean, sit-upon• Shoe box to stash your stuff

Be a rainy day scientist

Rainy days are great for exploring, too!Catch the rain in a measuring cup andsee how much falls.

Discover what happens to objects in therain. What absorbs water? What repels?What dissolves? Make a prediction, thentry it out!

Grab an umbrella and follow the flow

Can you find water flowing in your neighborhood?

What mini rivers and puddles pop up?

Where does the water go?

Make a petal boat with twigs, leaves, and fallen petals. See how far your boatwill flow.

Take a puddle hop

How many puddles can you find?Where’s the largest puddle? Where’s the smallest? Hop, skip and jump all theway home.

Contributed by Robin Mangum, play experiencedeveloper at Marbles Kids Museum and mom ofthree active boys, Bear, Gus & Hugh.

Backyard SafariSpring into action and explore thewilds of your backyard. Spendingtime together outdoors is a greatway to stay active while growingcreative, curious minds.


G E T O U T A N D P L AY !


WakeMed Night at the RailHawksSaturday, April 137 pmCarolina RailHawks vs. FC EdmontonSupport the hometown team as they kick off theseason. In honor of the new and improvedWakeMed Soccer Park, the first 2,000 guests willreceive a commemorative gift. Tickets online atwww.carolinarailhawks.com

SportFit Heart – A FREE ECG Screening Event for Young AthletesSaturday, April 20; 9 am to 2 pm by appointmentWakeMed Heart Center3000 New Bern AvenueRaleigh, NCFree screening for athletes ages 12 to 18. Accordingto the American Academy of Pediatrics, 2,000people under the age of 25 die each year fromsudden cardiac arrest in the U.S. For competitiveathletes, the risk is three times greater, and warningsigns can be subtle or dismissed. Register atevents.wakemed.org

Presented by the WakeMed Heart Center and Duke Children’s

and WakeMed Children’s Specialty Services

CPR for Infants & Common Pediatric Emergencies – FREETuesday, April 306:30 – 8:30 pmHalle Cultural Arts Center237 N. Salem Street, ApexAmy Griffin, MD, Wake Emergency Physicians andMedical Director, WakeMed Children’s EmergencyDepartmentCourtney Mann, MD, Wake Emergency Physicians

From fevers to falls, rashes to earaches, andeverything in between, it’s no laughing matter whenyour child is injured or ill. Hear what the experts have to say about how to handle common pediatricemergencies. Plus, learn hands-on CPR for Infants*using the American Heart Association’s CPR Anytimefor Family & Friends training kit. Register atevents.wakemed.org

* Training is not for health care providers and no certification is provided.

Families First Morning at the Market– FREESaturday, May 1110 to 11:30 amFarmers’ Market at Waverly Place shoppingcenter (on the Promenade), CaryWith Special Guest:Sydney McCoy, local 12-year-old celebrity chef

Join WakeMed and Whole Foods – Cary to learnsmart ways to add local produce to your family’s dietand enjoy tasty food samples. WakeMed Cary

Hospital dietitians will providetips and answer your nutritionquestions. Free. Registertoday at events.wakemed.org.

Sydney McCoy will joinfamilies at this fun event. She is the winner of severalcooking competitions and

has been featured on the Rachael Ray Show. Learn more at www.sydneymccoy.com.

WakeMed Safe Sitter® ProgramThis popular one-day program is for girls and boysages 11 to 13. Participants learn proper child careskills and techniques for handling medicalemergencies. $50 fee. Classes fill up fast. Register early!

> WakeMed Raleigh CampusAndrews Conference Center9 am to 4 pmJune 20, July 25, July 31 or August 20To register for the Raleigh class, [email protected] and indicate preferred date.

> WakeMed Cary HospitalConference Center9 am to 4 pmJune 28 or July 26To register for the Cary class, [email protected] and indicate preferred date.

CalendarSPRING 2013

Visit events.wakemed.org for information and registration.

How High is Too High?

“For normal, healthy children older than 6 months,parents should worry less about the number on thethermometer and more about other symptoms,” saidDr. Mann. “The body’s natural thermostat, located inthe brain, simply isn’t going to allow a fever to riseindefinitely unless there are extreme environmentaltemperatures or other health conditions of concernsuch as previous damage to the brain or acompromised immune system.”

Cause for Concern

Dr. Mann recommends seeking medical advice orcare for the following:

• Babies younger than 6 months with a rectaltemperature of 100.4°F or higher

• Children with a fever for 2 or more days

• Altered mental status or difficulty arousing child

• A child with a fever of 104°F accompanied by other symptoms

Other Symptoms of Concern• Trouble Feeding

• Difficulty Breathing

• Severe Pain (abdominal, chest or head)

• Rash-Like Bruising

• Problems Drinking Fluids or Urinating

Treating a Fever

Typical treatments for fever are merely efforts tocomfort a child.

• Do NOT give aspirin to a child with a fever.

• Do NOT give children aspirin-containingmedications. Check all labels carefully.

• Keep children hydrated. Give them fluids.

• Make sure they rest and get plenty of sleep.

• Don’t go overboard with bundling a child whenhis/her temperature is already high.

Although it isn’t necessary to treat a fever, Dr. Mannsays taking acetaminophen or ibuprofen may comfortchildren. Read children’s dosage instructions carefullyand call a doctor if you are unsure about the type oramount. Keep a log of anything you give them. Don’twake a child that is sleeping to give them somethingfor a fever. Remember, the fever itself is not theproblem, and they need the rest.

Play It Safe

Most of all, trust your instincts. Although a fever aloneis not necessarily cause for concern, Dr. Mannencourages families to call for help when in doubt.

Scary Seizures

A small percentage of children experience seizureswith fevers. “Although they can be scary, they aretypically brief and self-limited,” said Dr. Mann. “Theywill not cause long-term brain damage.” In fact, manychildren outgrow fever-related seizures.

If a child is having a seizure, move them to a safelocation. Do NOT restrain them during a seizure.Clear the area of anything dangerous andloosen/open clothing from the waist up if possible.Do NOT administer oral medication or insert anythinginto a child’s mouth during a fever-related seizure. Ifthe child vomits or there is fluid (saliva) or any sign(tongue placement, etc.) of breathing difficulty, turnthe child on their side or stomach.

If a seizure ends quickly (in seconds), and the childawakens, you can drive the child to the closestemergency room for evaluation. If it last minutes, it isprobably best to call 911 to have an ambulancetransport the child.

When Fevers RiseFevers climbing over 100°F can be alarming for parents, but Courtney Mann, MD, pediatric emergencymedicine physician, wants to help debunk a few myths. “It’s important for parents to realize that a fever itselfis not necessarily harmful,” said Dr. Mann. “A fever is the body’s natural immune response to infection – it’sthe body’s way of turning up the heat to fight the germs.” A fever can mean your child’s body is doing exactlywhat it is supposed to do.



Here’s a great All Star lesson for the whole family toreview and talk about. You could save someone’s life!

What is a stroke?

A stroke is a brain attack. A stroke can happen whenthe brain can’t get enough blood to keep it working.

How do you know if someone is having a stroke?

If you know how to tell if a person is having a strokeand what to do, you can help save a person’s life. Think FAST!

F = Face Ask the person to smile. Is the smileeven? Does one side of the face droop?

A = Arm Ask the person to raise both arms. Doesone arm float down?

S = Speech Ask the person to say a simplesentence like “The dog has brown spots.” Canyou understand the person? Does the person’sspeech sound slurred or different than usual?

T = Time! If a person has ANY of these symptoms,you need to act FAST!

How can you help if you think a person ishaving a stroke?• Call 911 right away and ask for an ambulance.

• Tell them what is happening.

• If you don’t have a phone, ask anyone with a phoneto call 911.

• Let everyone know it’s an emergency.

Be an All Star!WakeMed Children’s All Stars are awesome! They knowlots of important stuff about how to be healthy. Theyeven learn how to help when others are in need ofemergency medical help. Becoming a WakeMedChildren’s All Star doesn’t mean you have to have asuper jump shot or batting average. You just need toread and understand the information shared in thiscolumn of each issue of Families First.


When it comes to caring for thesmallest, sickest babies in thecommunity, only the best willdo. WakeMed’s Neonatal

Intensive Care Unit (NICU)team is constantly

working to stay on topof evolving researchabout the individualizedneeds of newborns.

Their dedication todeveloping and reaching

the latest standards of carehas resulted in an esteemedcertification awarded by the

Newborn IndividualizedDevelopmental Care andAssessment Program(NIDCAP) under the authority

of the NIDCAP Federation International. WakeMedis fourth in the world to be awarded the NIDCAPNursery Certification.

For families, this means newborn infants inintensive and special care nurseries at WakeMedreceive a high level of individualized,developmentally supportive care with a familycentered approach to optimize short and long-term health and developmental outcomes.

Every Little Detail Counts

Lights, sounds and movement – it’s all new to ababy. “Every child has their own way of managingsituations and addressing new challenges,” saidJim Helm, infant family specialist at WakeMed.“Everyone involved with the baby keeps that inmind from the very beginning.” The nurses at the bedside, along with the entire care team,emphasize customizing the environment of carebased on the behaviors and individual needs ofeach baby.

It all matters – tucking, sucking, holding, breathingand sleeping. Any and every element of care is

taken into consideration with a focus on providingsupport and reducing stress. “Sometimes babiesneed to take a break during procedures – thenurses tune into that and adjust accordingly,” said Helm.

When they are born so early, babies’ brains andbodies are developing outside the intendedenvironment. “We are constantly thinking of howwe can work together with their parents to provide the best support,” said Helm.

Parents are at the Core of the Team

Parent-led care is a key factor in the high level ofstandards WakeMed has put in place in the NICU.With careful attention to all aspects of theenvironment and the philosophy andimplementation of care for infants, WakeMed putsparents front and center as primary caretakers of their babies.

“Families need to be involved, informed partners in the care of their babies,” explains JamesPerciaccante, MD, director of neonatology atWakeMed. “They are caring for their babies, and we are supporting them though this difficult time.Our NICU team has daily family rounds anddiscusses each baby’s care plan openly.”

When a baby is in the NICU, it can be a verystressful time. Some of life’s demands can comebetween babies and family members. TheWakeMed staff works to minimize that as much as possible with a concerted effort on keeping the lines of communication open.

Family confidence is also vital to helping parentsbond with their baby. Parents need to remaininformed and confident that they can provide thecare their child needs. It can be challenging for afamily to adjust to the number of specialists whoneed to be involved in their baby’s care. AtWakeMed, a primary nurse may be assigned to bethe main contact for each family. Nurses volunteer

Babies Receive World-Class Care inWakeMed’s Neonatal Intensive Care UnitWakeMed is Fourth in the World to Receive NIDCAP Nursery Certification


to fill this role, and the whole team works togetherto support each other and share information.

Hand Hugs Give Extra Support

WakeMed has placed a big emphasis on increasingthe amount of time that babies are held. The staffworks with parents to help them get over the fear ofholding such a tiny or sick baby.

Hand Hugs, which involve a parent, nurse or otherstaff literally providing two-handed support duringmedical procedures, are incorporated into everydaycare. “Some babies need that extra support forthings as simple as moving a monitor from one footto the other,” said Helm. “The things that seem littleto us are really big changes for them.” Parents areencouraged to envelop their baby with their handsanytime that it could be helpful.

Skin-to-skin contact is really important for babies,and kangaroo care is an approach that has provento be very effective. Kangaroo care involves placinga baby against the bare chest of a parent. “Babies inthe nursery show best vital signs, including bloodpressure, breathing and heart rate, when sleeping onthe chest of their parents,” said Helm. “For manymothers, breast milk production is also better withkangaroo care.”

Beyond the Nursery – A Lifelong Impact

The WakeMed NICU team follows high-risk childrenfor up to three years. The extra developmentalsupport is provided for babies who are born twomonths early and others who may be at risk due to medical conditions or treatments received in the NICU.

“Those early days of support can have a directimpact on brain development for the next 20 years,”said Dr. Perciaccante.

Carolina NIDCAP Training Center at WakeMed

Since 1989, WakeMed has been home to the Carolina NIDCAP Training Center, one of currently 11 inthe country and 21 in the world. The WakeMed NICU team has made a long-standing commitment toset very high standards for themselves, to be a part of medical history, and to be a pilot site and trainingground for others. When asked to describe what it took to achieve the NIDCAP Nursery Certificationand what it means for this community, Jim Helm, infant family specialist at WakeMed and director ofthe Carolina NIDCAP Training Center, sounds just like a proud parent. “This certification reflects thehard work of amazing people,” said Helm. “Families can rest assured that this team has an unwaveringfocus on the best possible future for each individual baby.”


Help us Grow Join us in our efforts to expand servicesat WakeMed Children's Hospital - thefirst and only dedicated children'shospital in Wake County.

Last year alone, there were more than 148,000 pediatric visits to our specialists.

Each year, our Neonatal Intensive Care Unit cares for more than 625premature and critically ill babies.

From the tiniest patients to thoseunpredictable "big kid" emergencies,WakeMed is here to help.

You can help, too!

• Give a gift in a loved one's name.

• Honor a parent, teacher or caregiverwith a gift that helps others.

To make a donation or learn more, visitwww.wakemedfoundation.org.

Advisory Panel for Families First

Jerry Bernstein, MD, Raleigh Pediatric Associates, PA

Janice Frohman, RN, Administrative Director, WakeMed Emergency Services

Amy Griffin, MD, Wake Emergency Physicians, PA

Melissa Johnson, PhD, Pediatric Psychologist, WakeMed Faculty Physicians,Pediatrics/Neonatology

Bill Lagarde, MD, Director, WakeMed Children’s Endocrinology & Diabetes

Debra Laughery, Vice President of Public Relations

Courtney Mann, MD, Wake Emergency Physicians, PA

J. Duncan Phillips, MD, Surgeon-in-Chief/Director, WakeMed Pediatric Surgery

Mark Piehl, MD, MPH, Medical Director, WakeMed Children’s Hospital

Ivy Pointer, MD, Pediatric Intensivist, WakeMed Children’s Hospital

Chris Schmidt, Editor

Leesa Brinkley, Design

© WakeMed, 2013 Children’s

Infant CPR & CommonPediatric EmergenciesLearn Infant CPR Anytime at an upcoming Families First seminar.Physicians will also share insight on common pediatric emergencies, what you can do at home, and when to seek help. See Calendar on page 9 for registration details.

Is Your Sitter Prepared?

If you have older children who may care for babies or young kids, theyshould know when to act fast and what to do in an emergency. Considerenrolling older children or your babysitters in the WakeMed Safe Sitterclass. See Calendar on page 9 for registration details.

Find More Family Health Tips

If it can happen to a child, parents are bound to worry about it. WakeMedChildren’s posts emergency trends and topics of interest on the WakeMedVoices blog and shares many updates on Facebook to help educateparents so they can be prepared when it’s time to act fast.

Children’s

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3000 New Bern Avenue Raleigh NC 27610

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Families First is published for membersof the WakeMed Families First Club.Reproduction or use, withoutpermission, of editorial or graphiccontent in any manner is prohibited.Information in this publication is not asubstitute for medical advice ortreatment. Please see your doctor ifyou have any questions about yourmedical care.

Comments and requests forsubscription or removal from themailing list may be sent to:WakeMed Public Relations3000 New Bern Ave.Raleigh, NC 27610 or [email protected]

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let’s talk squash when fevers rise · many people have never heard of a chest wall deformity, and...

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