Archive for the ‘Dr. James Lee’s Blog’ Category

AAP policy statement on Effective Discipline for Children

The policy statement was released in December 2018. The focus of the conclusions is that corporal punishment (i.e., spanking) was ineffective as a short-term disciplinary method and likely contributes to anger and aggressive behaviors as a long-term consequence. This is the first AAP policy update on this subject since 1998 and the conclusions are now more evidenced based. Fortunately, there has been a gradual decline in the use of corporal punishment as a disciplinary method during this time period in our society. So, what are the recommended alternatives? This is an age-old and ongoing process (and discussion). A synopsis is…

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Media Exposure & Usage in Children – – AAP Policy Statement Update

At this year’s national AAP meeting held in October, the AAP updated their policy statement regarding media exposure and usage in all age groups. It was divided into two sections: 1) infants, toddlers and preschoolers and, 2) older children and adolescents. We’ll tackle the younger age group in this blog. For the younger age group, the AAP continued to emphasize that evidence for benefits of media exposure of any type for children under 2 is very limited. Children under 2 need hands on exploration and social interactions, ideally with consistent caregivers (I.e. parents) to develop in all developmental areas –…

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Healthy School Lunches – Making them better

The much maligned school lunch has gotten a lot of attention in the past few years. New dietary guidelines established in 2012 to provide healthier lunches has brought more focus to the basics of what constitutes a healthy lunch. These improved guidelines include reduced fat and sodium content of foods served with an increase of fruits and vegetables, discouraging sugar based drinks and promoting healthier grain options. It’s been a work in progress. The American diet is accustomed to fattier, sweeter foods and acceptance of these changes will take time. Furthermore, the quality of lunches brought from home is lagging…

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Happy Changes for Happy Spring!

Happy Spring and I am pleased to announce and welcome some big changes to our practice!  First and foremost, I want to introduce Dr. Jennifer Burns to our provider staff.  I’ve had the pleasure to get to know Dr. Burns over the past dozen years that she has practiced in Frederick.  I couldn’t ask for a more dedicated and caring physician.  Her commitment to quality medical care and her dedication to her patients is simply the best.  Her strong training experience local knowledge of Frederick County will allow her to step right into our practice.  We are very lucky to…

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Happy New Year 2017

Happy New Year from Dr. Lee and Fred Co Kids! As we look forward to a new year, I would like to propose some family resolutions near and dear to my heart that embrace our practice mission. Nature and Getting Outside How about a family First Day Hike? Visit http://dnr.maryland.gov/publiclands/pages/firstdayhikes.aspx for planned hikes around our local state park system.  Planning outdoor activities like family hikes throughout the year can become a fun part of a family’s day to day lives as well as the centerpiece of creating quality family time. Getting outside more also means staying inside less! One of…

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Safe Sleep Practices for Infants

When I was in my pediatric training back in the ’80s, unexplained infant death during sleep was called crib death.  The name was changed to SIDS – sudden infant death syndrome – and extensive research was and continues to be done to understand and prevent this tragic condition. Today, the old term is almost ironic because now the sad truth is most unexplained infant deaths occur as a result of unsafe sleep practices that could have been prevented if only the baby was sleeping in their crib! Sudden infant death rates have decreased by 2/3 in the past two decades…

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Marijuana – New Era/Old Concerns

Legalization of marijuana in several states has shifted our perspective and acceptance that marijuana is a safe (or safer) drug more aligned with alcohol and cigarettes. But marijuana ,like alcohol and cigarettes, is by no means benign and we’re finding this to be especially true in the adolescent age group. First, the statistics : 10-15%of middle schoolers and approx. 1/3 of high schoolers have at least tried marijuana and approx. 15-20%of high schoolers claim to use it fairly regularly (monthly). With this in mind, the AAP recently updated their policy statement on marijuana, opposing legalization and encouraging ongoing research and…

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Connecting to Nature

Getting our kids (and families) outside and into nature is one of FredCoKids core initiatives and we’re proud of our involvement with Frederick County Parks & Rec; in promoting and supporting their parks and programs. Scott Sampson (host of the PBS series Dinosaur Train) recently wrote : How to Raise a Wild Child – The Art and Science of Falling in Love with Nature. The book is both educational and motivational . At its core is his concern and rationale for encouraging nature awareness – starting at a very young age and in very simple ways. The book has several…

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Screen Time & Media Use – Figuring it Out

Using research-based guidelines to make recommendations regarding proper use of our expanding technology for children is a fast moving target. Recommendations from the American Academy of Pediatrics (AAP) in 2011 limiting or restring screen time for children was based on literature that is now 10 years old (before iPads and smart phones.) Exposure to screen-based technology is pervasive, and we now know that the type and format of the technology can have both beneficial and detrimental effects on children at different ages. In an attempt to stay current in this area, the AAP sponsored a symposium earlier this year to…

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Docs in the Park Summer Events

Frederick County Pediatrics is proud of its collaboration with Frederick County Parks and Recreation in planning and promoting Docs in the Park, and we want to highlight two upcoming events that children and families can enjoy! Docs in the Park Nature Series Get up close and personal as we check out various county parks with a 90 minute guided tour with a Parks and Recreation Naturalist!  It’s a great way for families of all ages to get outside, see our parks and learn more about the world around.  Who knows, maybe you’ll see one of us out there. Below are…

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Community Programs

Docs in the Park Reach out and Read Girls on the Run United Way of Frederick Maryland Interagency Early Childhood Committee Mental Health Association LiveWell Frederick Family Resource, Information & Education Network for Down Syndrome
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