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Posts for category: Child Care

By Orchard Pediatrics, PC
December 10, 2018
Category: Child Care
Tags: Asthma  

Asthma, the leading cause of chronic illness in children, affects more than 8 percent of kids in the U.S., according to the Centers for Disease Control and Prevention. The lung disease keeps kids out of school and prevents them from enjoying sports and activities. However, thanks to effective asthma treatment plans offered by your West Bloomfield, MI, pediatricians at Orchard Pediatrics, children with asthma can breathe easier!

Child AsthmaWhat is asthma?

Asthma occurs when the small airways in your child's lungs become inflamed and fill with mucus. As a result, the airways narrow, restricting the amount of air that reaches the lungs. It's not always easy to determine why your child has asthma, but several factors may play a role, including allergies, a family history of the disease, exposure to cigarette smoke, frequent respiratory infections, a case of respiratory syncytial virus (RSV) as a baby, or low birth weight.

What are the common symptoms of asthma?

If your child has asthma, they may complain about chest tightness or pain. Kids with asthma often also carry a frequent cough, even when they don't seem to be sick. This coughing can affect sleep, leading to daytime fatigue. Wheezing, shortness of breath, and chest congestion may also occur. If your child has asthma and develops a respiratory infection, it may take longer for them to get better. Asthma may also affect your child's ability to play or participate in sports, as symptoms may worsen with activity. If your child has exercise-induced asthma, symptoms may only occur when your son or daughter runs or plays sports.

How is asthma treated?

Oral and inhaled medications are commonly used to treat asthma in children. The medications reduce inflammation, open the airways and relax the muscles that surround the airways. If your child has exercise-induced asthma, they may only need to use asthma medications before and during sports and other activities. Treating conditions that contribute to asthma, such as allergies or gastroesophageal reflux disorder (GERD), can be helpful in reducing symptoms and flare-ups.

If your child has extreme difficulty breathing or can't finish a sentence without pausing to take a breath, don't wait to see the pediatrician. Take your son or daughter to the emergency room immediately.

Concerned? Give us a call

Are you worried that your child may have asthma? Call the West Bloomfield, MI, pediatricians at Orchard Pediatrics at (248) 855-7510 to schedule an appointment.

By Orchard Pediatrics, PC
November 06, 2018
Category: Child Care
Tags: Immunizations  

You know that frequent hand-washing, taking vitamins, and getting plenty of rest helps to protect yourself and your family from getting sick, but what if a simple visit to Orchard Pediatrics in West Bloomfield, Michigan could give your children immunity from over a dozen serious illnesses? By staying current on their vaccinations, this is completely possible! Here's how immunizations help your child get a healthy start.

Child ImmunizationWhat do immunizations do?

Vaccines from your West Bloomfield pediatrician contain compounds from the germs that cause specific illnesses; the polio vaccine, for example, contains the polio virus. But to keep you from actually contracting the diseases, these germs have been killed or "stunned." Your immune system still recognizes them as a threat to your health, however, and begins to make antibodies, which are germ-fighting proteins in the blood. This way, any exposure you may have to the "real thing" ensures that you won't get sick.

Why is it important to follow the recommended vaccination schedule?

It can feel overwhelming, especially for first-time parents, to see all the vaccinations that are recommended for your children during their first two years of life. However, we suggest thinking about the number in a different way—that series of immunizations protects your children from 14 different illnesses, some of which are life-threatening. The schedule of immunizations and boosters has been carefully designed and reviewed by experts in the field; it works with the natural rhythm of the immune system and offers the best chance for protection against preventable diseases. Delaying or altering that schedule can put your child at risk for acquiring an illness, such as measles or pertussis, that they haven't been immunized against yet.

To schedule an appointment with one of our caring pediatric staff, contact Orchard Pediatrics in West Bloomfield, Michigan today!

August 21, 2018
Category: Child Care
Tags: ADHD  

What your pediatricians in West Bloomfield, MI, want you to know about ADHD

adhd boyIf your child is restless or has difficulty paying attention, it’s easy to ignore it. The truth is it could be a sign of Attention Deficit Hyperactive Disorder, also known as ADHD, which can affect your child’s learning, socialization, and other developmental milestones. The pediatricians at Orchard Pediatrics in West Bloomfield, MI, want you to know the facts about ADHD.

So, what is ADHD?

Attention Deficit Hyperactive Disorder is a developmental disorder which causes difficulties focusing and completing tasks, inability to pay attention, and fidgety, restless behavior.

What are some signs and symptoms of ADHD I need to look for?

According to the Centers for Disease Control (CDC) there are several signs and symptoms of ADHD including difficulty with:

  • Paying attention or following directions
  • Concentrating or listening
  • Organization or focusing on tasks
  • Forgetting or losing things
  • Daydreaming or fidgeting
  • Making mistakes or taking risks
  • Talking excessively or making friends

How do doctors diagnose ADHD?

Your pediatrician will begin with a thorough medical examination including testing your child for developmental issues. You, your child’s teacher and others close to your child will be asked questions about behavior, lifestyle, and other factors.

How do doctors treat ADHD?

Treatment for ADHD commonly includes behavioral therapy for your child and techniques of behavioral management to help you as a parent. Medications may also be recommended along with dietary and lifestyle changes.

ADHD can be difficult for you and your child to deal with, and its effects can be significant. If left undiagnosed and untreated, ADHD can lead to problems with learning, difficulty in school, and problems with relationships. These problems can persist into adulthood.

You don’t have to deal with ADHD by yourself. There is help from your pediatrician. Don’t wait to get the help and support you need. Call the pediatricians at Orchard Pediatrics in West Bloomfield, MI, today!

By Orchard Pediatrics, PC
June 18, 2018
Category: Child Care
Tags: newborn care  

You have a beautiful newborn. Congratulations! Now begins the great adventure of caring for that precious little one. At Orchard Pediatrics newborn carein West Bloomfield, MI, our four pediatricians and their professional staff love helping parents provide the best newborn child care. It's a responsibility that we take seriously.

Sleep, eat, and use diapers

This is what your newborn does best. Expect your baby to sleep about 16 hours a day in short shifts for a few months. This means less uninterrupted sleep for Mom and Dad, but rest assured, your baby's sleep pattern is normal for this stage of development.

For safety's sake, position your newborn on his or her back unless your pediatrician says otherwise. This is the best position to avoid SIDS and other health concerns.

Regarding feeding, breast is best, and mothers are their babies' sole nutritional source for about six months. Nursing continues until age one, and lactation consultation is available for you during routine office hours. Whenever you feed your baby--whether nursing or bottle-feeding--gently rub or tap his or her back to get that satisfying burp.

With eating comes diapers, and newborn child care involves changing six to eight daily. Your friends at Orchard Pediatrics in West Bloomfield want you to fold a new baby's diaper down in front to avoid irritating the leftover umbilical cord. While this stump dries and hardens over several weeks, watch for discharge or bleeding, and call the office as needed.

Also, the youngest of babies produce black stools called meconium. While odorless, it's color is startlingly black. This is normal, and stools lighten to green and yellow as your baby grows.

Soothing and bathing

The best way to soothe your newborn's fussiness is to be with him or her. Hold, rock, and swaddle in a receiving blanket. These strategies help your newborn be calm and bond well to you. Bathing a newborn is not necessary and in fact should be avoided until the stump of the umbilical cord drops off. As weeks go on, your baby will feel calmer and sleep longer when soothed with a warm bath.

Exams and vaccines

You and your baby need both. Moms, be sure to keep your postpartum appointments with your OB/GYN doctor. Regarding visits to the pediatrician, bring your baby for a routine newborn examination within the first week of going home. The doctor will check his or her development, check vitals and ask how feeding, sleeping, and diapers are going. The next routine check-up comes at about one month old.

Regarding vaccines, Orchard Pediatrics follows the schedules set by the American Academy of Pediatrics and the Centers for Disease Control. The hepatitis immunization is given at birth, and as your child grows, he or she will receive vaccines against 18 communicable diseases.


Of course, you have questions. Call the office staff at Orchard Pediatrics in West Bloomfield, MI, with your concerns, and you'll receive a caring, accurate answer as soon as possible. To schedule routine exams for your baby, contact us at (248) 855-7510.

By Orchard Pediatrics
May 08, 2018
Category: Child Care
Tags: Asthma  

Your child struggles when they get a cold. Coughing, wheezing, extreme fatigue--they resolve, but you wonder if something else is asthmahappening. Could your child have asthma? The Asthma Initiative of Michigan maintains that one in ten children in the United States has this chronic respiratory condition. Please contact Orchard Pediatrics in West Bloomfield, MI for evaluation of your child's possible asthma symptoms.

Symptoms of asthma

Both children and adults who suffer from asthma have trouble taking air in and exhaling it. Their airways are swollen, constricting their breathing. Copious amounts of mucous accompany this bronchospasm which may be triggered by stress, exercise, allergens (such as grass or animal dander), cigarette smoke, temperature extremes and other weather-related changes, food, colds or the flu and environmental and indoor pollutants.

Specifically, asthma symptoms include:

  • Shortness of breath
  • Restlessness and fatigue
  • Wheezing
  • Coughing, particularly at night
  • A tightness or heaviness in the chest

An increasing problem

The Centers for Disease Control in Atlanta says asthma diagnoses are increasing. While exact causes behind the condition are unknown, parents should understand that asthma is serious, impacting daily functioning and long-term well-being. However, families can manage the symptoms with an asthma action plan from the board-certified physicians at Orchard Pediatrics in West Bloomfield.

An asthma evaluation

It includes a complete medical history and physical. A lung function test, called spirometry, measures how much air your child expels in a single breath. Your pediatrician may order blood work and chest X-rays, too.

With a confirmed diagnosis, you and your child's doctor will formulate an asthma action plan to manage symptoms. This plan will include knowing your child's triggers, their medications (fast-acting bronchodilators and long-term corticosteroids), and what you should during a serious attack. The American Lung Association advocates using this plan to help physicians, parents, school nurses and caregivers coordinate the child's care with accurate information and a sensible way to deal with symptoms, particularly when symptoms are dangerous and potentially life-threatening.

Don't wait

If you suspect your child has asthma, contact Dr. Amy Dunn, Dr. Beth Nadis and Dr. Laurie Fisher at Orchard Pediatrics in West Bloomfield, MI and serving the Commerce Township, and Farmington Hills Areas for a consultation. Together, you and your child's doctor can help your youngster lead an active, happy life. Call the office team at (248) 855-7510.