Category: Mid City Pediatrics Blog

Separating Fact From Misinformation

Childhood vaccines have been the subject of significant national attention following recent changes announced by the White House (8/10/26). Along with discussions about the childhood vaccine schedule, several statements were made that may understandably leave parents confused or concerned.

At Mid City Pediatrics, our role is not to tell families what to think politically. Our role is to provide parents with accurate medical information so they can make informed decisions about their children’s health.

Parents should absolutely ask questions about vaccines. Recommendations should be continually reviewed as new evidence becomes available. But those conversations should begin with accurate information about what vaccines contain, how they are given, and what decades of research have shown.

Here are some of the claims you may have heard this week and what the medical evidence and facts actually tell us.

CLAIM: The amount of vaccine given to a child can be comparable to a “bottle of soda.”

During remarks about childhood vaccination, President Trump compared the amount of vaccine fluid given to a small child to the “size of a bottle of soda.”

That comparison may sound frightening—especially to a parent picturing that amount of fluid being injected into a baby.

So let’s look at the actual volume.

Most routine injectable childhood vaccines contain approximately 0.5 mL of fluid per injection.

Using combination vaccines such as Pediarix during infancy and Kinrix at age 4, and looking at an example of commonly administered routine childhood vaccines using combination products when available, a child might receive approximately:

• Birth: 1 injection — Hepatitis B
• 2 months: 3 injections
• 4 months: 3 injections
• 6 months: 2 injections
• 12 months: 3 injections
• 15 months: 3 injections
• Around age 2: 1 injection
• Age 4: 3 injections — including combination DTaP/IPV (Kinrix), MMR and varicella
• Around age 11: 2 injections
• Age 16: 1 injection

That’s approximately 22 injections from birth through age 18 in this particular example. The last routinely scheduled injection included in this example occurs at age 16, so the total remains 22 through age 18.

At approximately 0.5 mL per injection, the combined volume of those 22 injections is only:

11 mL of vaccine fluid spread over 18 years.

For comparison:

One standard 12-ounce bottle of soda = approximately 355 mL.

A single 12-ounce soda therefore contains more than 32 times the amount of fluid contained in all 22 of those vaccine injections combined.

But even that comparison gives the wrong impression in one important way: those 11 mL are never given to a child at the same time.

At one of the larger infant vaccine visits, when a baby receives three typical 0.5-mL injections, the total amount injected at that visit is approximately: 1.5 mL.

A 12-ounce bottle of soda contains approximately 237 times that amount of fluid.

But what if we include annual flu vaccines and HPV?

Let’s make the comparison even more complete.

The American Academy of Pediatrics recommends annual (yearly) influenza vaccination beginning at 6 months of age and continuing through adolescence. The AAP also recommends routine HPV vaccination during childhood and adolescence.

If we include:

• roughly 18–20 injectable influenza vaccine doses through age 18, depending on how influenza seasons and the first-season two-dose recommendation fall, and
• the recommended two-dose HPV series,

that adds approximately 20–22 additional injections to our example. At approximately 0.5 mL per injection, that represents another 10–11 mL of vaccine fluid.

Add that to the approximately 11 mL from the 22 injections in our childhood vaccine example above, and the combined total becomes approximately:

21–22 mL of injectable vaccine fluid from birth through age 18.

Now compare that with a standard 12-ounce bottle of soda:

Combined volume of the vaccine injections included in this expanded example: approximately 21–22 mL

One standard 12-ounce bottle of soda: approximately 355 mL

A single bottle of soda therefore contains roughly 16–17 times more fluid than the combined volume of all the vaccine injections included in this expanded example, spread across an entire childhood and adolescence.

Vaccine fluid does not accumulate in a child’s body

There is another important problem with adding 18 years of vaccine volumes together: biologically, that isn’t what happens inside the body.

Vaccine doses do not accumulate year after year.

After an injectable vaccine is administered, immune cells encounter the vaccine antigens and begin an immune response. Specialized antigen-presenting cells process the antigens and communicate with other parts of the immune system, including B and T cells. This helps the body develop antibodies and immune-memory cells capable of recognizing the infection in the future.

The vaccine ingredients themselves do not simply remain in the muscle or bloodstream indefinitely.

Depending on the particular vaccine and ingredient, components are processed, broken down, metabolized or eliminated through the body’s normal physiologic processes. Live attenuated vaccines, such as MMR, work somewhat differently because the weakened viruses briefly replicate before being controlled by the immune system.

There isn’t a growing reservoir of vaccine fluid inside a child, with another 0.5 mL being permanently added every time another vaccine is administered.

What we want to remain is the immune memory—not the vaccine fluid.

When we say that the injectable vaccines included in this example total roughly 21–22 mL, we are deliberately adding together nearly two decades of separate vaccinations simply for comparison.

At no point does a child have those 21–22 mL of vaccine sitting inside his or her body.

So let’s put the numbers side by side:

Three typical vaccine injections at an infant visit: ~1.5 mL

All injectable vaccines included in our expanded example added together from birth through age 18: ~21–22 mL

One 12-ounce bottle of soda: ~355 mL

The 21–22 mL represents vaccinations administered over approximately 18 years. The 355 mL represents one bottle of soda.

So the image of anything remotely resembling a “bottle of soda” worth of vaccine being injected into a small child does not reflect either the actual volumes involved or what happens to vaccines after they enter the body.

This comparison is simply a matter of putting the actual vaccine volumes into perspective.

This example is intended to illustrate injectable vaccine volume. Exact vaccine products, doses and timing can vary depending on age, medical history, combination products used and evolving recommendations. Vaccines administered orally, such as rotavirus, are not included in the injectable-volume calculation.

CLAIM: Children receive 70–90 “jabs.”

During the White House event, numbers ranging from 70–90—and even as high as 94 “jabs”—were used to describe childhood vaccination.

But what exactly counts as a “jab”?

If by “jab” we mean what most parents would reasonably think it means an actual needle stick into their child, those numbers do not accurately describe the routine childhood vaccine schedule in our example.

Refer back to the vaccine schedule above.

Using common combination vaccines such as Pediarix and Kinrix, the routine vaccine series in our example involves approximately 22 actual injections from birth through age 18.

If we add the routinely recommended two-dose HPV series, that brings the total to approximately 24 injections through age 18.

What about the flu vaccine?

Influenza vaccination is recommended every year beginning at 6 months of age. Depending on exactly when a child’s birthday and influenza seasons fall, and whether the child needs two doses during the first influenza season, an injectable flu vaccine every year would add roughly 18–20 additional needle sticks by age 18.

So even if a child receives the routine vaccines in our example, the full HPV series, and an injectable flu vaccine every year, the total in this example would be approximately:

42–44 actual needle sticks over 18 years.

That averages only about 2 to 2½ needle sticks per year of life.

In other words, counting actual needle sticks produces a very different number from the 70–94 “jabs” described in recent remarks, which I can only assume the inflated numbers are coming from.

The exact number for an individual child can vary depending on vaccine products used, timing of influenza seasons, whether an intranasal flu vaccine is used when age-appropriate, medical conditions, catch-up vaccination and changing recommendations. But counting the number of actual injections is very different from counting every disease or vaccine component as another “jab.”

For example:

Pediarix protects against diphtheria, tetanus, pertussis, hepatitis B and polio with one needle stick—not five.

Kinrix protects against diphtheria, tetanus, pertussis and polio with one needle stick—not four.

MMR protects against measles, mumps and rubella with one needle stick—not three.

That’s one of the major benefits of combination vaccines: they reduce the number of injections children receive.

And that makes proposals to separate MMR particularly important to understand.

If measles, mumps and rubella were separated into individual vaccines, one MMR injection would become three separate needle sticks.

So if the concern is that children receive too many “jabs,” separating combination vaccines would actually increase the number of injections.

When discussing childhood vaccine schedules, parents deserve to know whether a number represents actual needles going into their child or the number of diseases being prevented by those injections.

Those are not the same thing.

CLAIM: Giving several vaccines at the same visit overwhelms a child’s immune system.

Parents sometimes understandably wonder whether several vaccines at once are simply “too much” for a baby’s immune system.

It’s a reasonable question—and one that has been studied extensively.

Children encounter an enormous number of antigens through normal daily life—from food, bacteria, viruses, their environment and even the organisms naturally living on their bodies.

Studies have not demonstrated that receiving routinely recommended vaccines at the same visit overwhelms or weakens a healthy child’s immune system.

In fact, although children receive protection against more diseases today than they did decades ago, advances in vaccine technology mean that today’s vaccines expose children to far fewer total antigens than older vaccine schedules did.

Giving multiple vaccines at the same visit has been studied and shown to be safe.

Spacing vaccines over many additional visits also has consequences. It can leave children susceptible to preventable diseases for longer periods and increases the possibility that doses will be delayed or missed altogether.

There can certainly be individual circumstances in which a pediatrician adjusts the timing of a child’s vaccines. That is different from concluding that routinely separating vaccines is medically safer.

CLAIM: MMR may be dangerous or even “lethal” because measles, mumps and rubella are given together.

President Trump suggested that giving measles, mumps and rubella vaccines together could potentially be “quite lethal” and advocated giving the three vaccines separately.

There is no published scientific evidence showing that separating MMR into three individual vaccines is safer than giving the combined MMR vaccine.

Like any vaccine or medication, MMR is not completely without risk. Serious adverse reactions can occur, but they are rare. Reports of serious events, including deaths occurring after vaccination, have been submitted to vaccine-safety surveillance systems; a report occurring after vaccination does not by itself establish that the vaccine caused the event.

The relevant question is whether evidence shows that the combined MMR vaccine creates a greater risk than giving its components separately—and available evidence has not demonstrated that it does.

It is also important to put the history of this vaccine into perspective.

The combined measles, mumps and rubella vaccine was first licensed in the United States in 1971.

That means we have approximately 55 years of experience with combined MMR vaccination in the United States.

This is not a new vaccine or a new combination whose effects are just beginning to be understood. MMR has been administered to generations of children, and its safety has been studied and monitored for decades.

There is also an important practical problem with the proposal to separate MMR:

Separate measles, mumps and rubella vaccines are not currently available in the United States.

Repeat…A vaccine containing separate measles, mumps, and rubella components is not currently available.

Merck stopped production of its individual measles vaccine (Attenuvax), mumps vaccine (Mumpsvax), and rubella vaccine (Meruvax II) in 2008. In 2009, the company formally announced that it would not resume production of these monovalent vaccines.

In other words, separate measles, mumps and rubella vaccines have not been available for routine use in the United States for approximately 17 years.

Today, measles, mumps and rubella vaccination in the United States is accomplished with combination products.

That means that although the President’s executive order may take effect immediately as a federal directive, the portion calling for children to receive separate measles, mumps and rubella vaccines cannot actually be implemented immediately in a pediatrician’s office. The individual vaccines required to do it are not currently available in the United States.

As of August 2026, there is also no publicly announced timeline for when separate measles, mumps and rubella vaccines will become available in the United States, and no manufacturer has publicly announced that it is currently producing these three separate vaccines for the U.S. market.

There is another practical point worth considering.

Separating MMR would mean turning one injection into three separate injections each time protection against measles, mumps and rubella is given.

So at the same time families are being told that children receive too many “jabs,” one of the proposed solutions would actually increase the number of needle sticks children receive.

Parents deserve to understand both of these facts:

There is no published evidence that separating MMR into three vaccines is safer.

And there are currently no separate measles, mumps and rubella vaccines available in the United States with which pediatricians could carry out that recommendation.

CLAIM: Childhood vaccines haven’t really been studied.

One statement made during the White House event suggested that when it comes to childhood vaccination, “nobody has studied it.”

That is simply incorrect.

Vaccines undergo clinical trials before FDA approval and continue to be monitored after approval through multiple vaccine-safety surveillance systems.

Scientists don’t simply stop studying a vaccine once it reaches the market.

Safety monitoring continues in very large populations, which allows researchers to identify uncommon adverse events that might not be apparent in smaller pre-approval trials.

Some vaccine questions have been studied in extraordinarily large populations.

The possible relationship between vaccines and autism, for example, has been examined repeatedly across millions of children in multiple countries.

Medicine should always continue asking questions and studying safety. Continued research is part of good medicine.

But saying childhood vaccines have not been studied does not accurately represent the scientific literature.

CLAIM: Vaccines may be responsible for the increase in autism.

This is understandably one of the most emotionally difficult questions for families.

Autism diagnoses have increased substantially over the past several decades. Researchers continue studying why.

But an increase in two things during the same period does not demonstrate that one caused the other.

Researchers have specifically examined whether MMR vaccination is associated with autism and whether broader vaccine exposure increases autism risk.

Large studies involving millions of children have not demonstrated that MMR vaccination causes autism.

Changes in diagnostic criteria, increased awareness and screening, recognition of milder presentations and other factors have contributed to changes in measured autism prevalence. Research into the causes of autism continues.

Parents of children with autism deserve serious scientific investigation into its causes—not assumptions of causation based simply on two trends occurring during the same period.

CLAIM: Some groups that don’t vaccinate have virtually no autism.

Claims comparing autism rates among supposedly “unvaccinated” populations are often circulated online.

These comparisons are much more complicated than they sound.

To establish that vaccines cause autism, researchers would need reliable information about vaccination status, consistent methods of diagnosing autism, comparable access to healthcare and screening, and careful adjustment for many other differences between populations.

That’s why large epidemiologic studies are much more informative than anecdotes about particular communities.

Those studies have not demonstrated that MMR vaccination causes autism.

What About Separating Vaccines Into More Visits?

Parents may reasonably ask:

“Even if vaccines are safe together, what’s wrong with just spreading them out?”

It sounds simple, but there are practical as well as medical consequences to consider.

Babies already see their pediatrician frequently

During the first year of life, a child following a typical pediatric well-child schedule may already be seen for:

• an initial newborn visit
• a 2-week visit
• a 2-month visit
• a 4-month visit
• a 6-month visit
• a 9-month visit
• a 12-month visit

That’s approximately seven routine well-child visits during the first year alone.

After the first birthday, additional routine well visits commonly occur at 15 months, 18 months and 24 months, with some children or practices also having a visit around 21 months.

And these are only preventive well-child visits.

They don’t include visits for fever, ear infections, respiratory illnesses, injuries, rashes, developmental concerns or the many other reasons young children may need to see their pediatrician.

“Just separate the vaccines” may mean additional appointments

If vaccines that can safely be administered together are instead required to be given at separate medical visits, families may need to make additional trips to the pediatrician.

Consider MMR.

MMR currently provides protection against three diseases—measles, mumps and rubella—with one injection.

If measles, mumps and rubella vaccines eventually become available separately and the three components are also required to be administered at different visits, one current MMR visit could become three vaccine visits—two additional appointments. Because MMR is currently a two-dose series, the two visits needed for the combined vaccine could potentially become six separate visits under such an approach.

That has real consequences for families.

Additional vaccine appointments can mean:

• more time away from work for parents
• more time away from school or childcare for children
• additional transportation and travel
• potentially additional copays or other out-of-pocket expenses, depending on insurance coverage
• additional scheduling difficulties
• more appointments for families who may already have limited access to healthcare

For a family with several children, those additional appointments can multiply quickly.

More visits can also mean more opportunities for vaccines to be missed

There is another important medical consideration.

Every additional appointment creates another opportunity for something to interfere.

A parent can’t get off work.

A child is sick that day.

Transportation falls through.

The appointment is forgotten.

The family moves.

Insurance changes.

Or the family simply doesn’t return.

When vaccines that can safely be administered during the same visit are intentionally separated, children may remain partially vaccinated for longer periods of time.

That matters because delaying a vaccine doesn’t simply change a date on a calendar.

It extends the period during which a child remains susceptible to that disease.

Recommended vaccine schedules aren’t designed simply for convenience. Timing considers when children are vulnerable to particular infections, when vaccines produce an effective immune response, and how early effective protection can safely be established.

There can certainly be individual circumstances in which a pediatrician and family decide to adjust the timing of a child’s vaccines. That’s different from concluding that routinely separating vaccines for every child is medically safer.

There is currently no evidence that routinely spreading compatible childhood vaccines across additional visits makes vaccination safer.

What it clearly can do is create more appointments, more needle sticks when combination vaccines are separated, more inconvenience and potential expense for families, and more opportunities for children to remain incompletely vaccinated.

Asking Questions Is a Good Thing

Parents should never feel uncomfortable asking us:

Why does my child need this vaccine?

What are the risks?

What are the benefits?

What side effects should I expect?

What happens if we delay it?

What evidence supports the recommendation?

Those are reasonable questions.

Vaccine recommendations should not be immune from scrutiny simply because they have existed for a long time. Science continually evaluates recommendations as new information becomes available.

At the same time, questioning recommendations shouldn’t mean abandoning decades of evidence or replacing measurable facts with frightening comparisons that aren’t medically accurate.

Our Commitment to Families

Federal vaccine recommendations are changing, and there may be additional changes in the coming months.

We will continue carefully reviewing those recommendations along with guidance from pediatric and infectious-disease experts and the scientific evidence supporting them.

There may be areas where reasonable people—and even medical organizations—disagree about vaccine policy.

But there is an important distinction between debating vaccine policy and misstating basic medical facts.

A 0.5-mL vaccine is not a bottle of soda.

Counting each disease prevented by a combination vaccine as another “jab” does not represent the number of injections a child actually receives.

There is no published evidence that splitting MMR into three separate vaccines makes it safer.

Childhood vaccines have not gone unstudied.

And vaccine fluid does not accumulate inside a child’s body year after year.

Parents deserve accurate information—including information about both benefits and risks—so they can make informed decisions for their children.

If something you hear in the news or see on social media concerns you, bring it to us.

Ask us! We want our patients to have the correct information.

We would much rather have that conversation with you than have you make an important decision about your child’s health based on fear or misinformation.

Great Care for Great Kids

For the Current Childhood Vaccine Schedule

For the recommended current childhood vaccine schedule, visit the American Academy of Pediatrics immunization schedule.

References & Resources

1. American Academy of Pediatrics. Recommended Childhood and Adolescent Immunization Schedule: United States, 2026. Pediatrics. 2026;157(3):e2025075754.
   Current AAP recommendations for routine childhood and adolescent immunizations, including MMR, influenza, HPV and other routinely recommended vaccines.
2. American Academy of Pediatrics. Immunizations.
   Current AAP immunization recommendations, schedules and resources for pediatricians and families.
3. Centers for Disease Control and Prevention. Measles, Mumps, Rubella (MMR) Vaccine Safety.
   Reviews MMR safety, known adverse effects, the evidence regarding MMR and autism, and the lack of evidence supporting separation of MMR into three individual vaccines. The CDC also notes that M-M-R II was approved in the United States in 1971.
4. U.S. Food and Drug Administration. M-M-R II (Measles, Mumps, and Rubella Virus Vaccine Live) Prescribing Information.
   Provides official prescribing information for M-M-R II, including dosage, administration, contraindications, precautions and reported adverse reactions. A standard M-M-R II dose is approximately 0.5 mL.
5. Hviid A, Hansen JV, Frisch M, Melbye M. Measles, Mumps, Rubella Vaccination and Autism: A Nationwide Cohort Study. Annals of Internal Medicine. 2019;170(8):513–520. doi:10.7326/M18-2101.
   Nationwide Danish cohort study involving 657,461 children. MMR vaccination was not associated with an increased risk of autism. The study also found no evidence that MMR triggered autism in susceptible children or was associated with clustering of autism cases following vaccination.
6. Taylor LE, Swerdfeger AL, Eslick GD. Vaccines are not associated with autism: An evidence-based meta-analysis of case-control and cohort studies. Vaccine. 2014;32(29):3623–3629. doi:10.1016/j.vaccine.2014.04.085.
   Meta-analysis including five cohort studies involving 1,256,407 children and five case-control studies involving 9,920 children. The analysis found no association between vaccination and autism or autism spectrum disorder and no association between MMR vaccination and autism.
7. Centers for Disease Control and Prevention. Measles Symptoms and Complications.
   Reviews the potential complications of measles. Approximately 1 in 5 unvaccinated people in the United States who develop measles are hospitalized, about 1 in 1,000 children with measles develops encephalitis, and approximately 1–3 of every 1,000 children infected with measles die from respiratory or neurologic complications.
8. Centers for Disease Control and Prevention. About the Vaccine Adverse Event Reporting System (VAERS).
   Explains how vaccine adverse events are reported and investigated. VAERS accepts reports of medical events occurring after vaccination, including serious events and deaths, regardless of whether the vaccine is believed to have caused the event. A VAERS report by itself does not establish that a vaccine caused the reported event.
9. American Academy of Pediatrics. AAP Immunization Schedule. Red Book Online.
   Provides access to the AAP Recommended Child and Adolescent Immunization Schedule and supporting immunization guidance.
10. American Academy of Pediatrics. AAP’s 2026 Immunization Schedule Keeps Routine Recommendations Intact. AAP News. January 26, 2026.
    Summarizes the AAP’s 2026 recommendations, including continued routine childhood vaccination and the AAP recommendation for a two-dose HPV series beginning at ages 9–12 years. 

If your house is anything like mine, the weeks leading up to the first day of school are a whirlwind. We’re shopping for school supplies, trying on clothes that somehow don’t fit anymore, filling out endless forms, and wondering where summer went.

In the middle of all the excitement, it’s easy to forget one of the most important parts of getting ready for a new school year—making sure our kids are healthy and prepared for the months ahead.

The good news is that you don’t have to do everything perfectly. A few simple steps before the first day can help make the transition smoother for both you and your child.

Here are 7 things every parent should do before the first day of school to help set their child up for a healthy, successful school year.

1. Start Resetting Sleep Schedules Now

If your kids have been staying up later than usual this summer, you’re definitely not alone. Instead of waiting until the night before school starts, begin moving bedtime up by 15–20 minutes every few nights. It gives their bodies time to adjust and makes those early school mornings much easier.

Most children need:

• Preschoolers: 10–13 hours of sleep
• School-age children: 9–12 hours
• Teens: 8–10 hours

A well-rested child is more likely to be focused in class, handle emotions better, and start the school year feeling their best.

2. Make Sure Vaccines Are Up to Date

Back-to-school season is one of the busiest times in a pediatric office because many schools require updated immunizations before students can attend.

If you’re not sure whether your child is due for any vaccines, now is the perfect time to check. Scheduling early can save you from the last-minute rush and help ensure your child is ready for the first day.

3. Don’t Wait to Schedule Sports Physicals

If your child plans to play football, volleyball, cheer, cross country, soccer, or any other school sport, chances are they’ll need a sports physical before practices begin.

Every year, families call at the last minute trying to squeeze in appointments before tryouts. Planning ahead helps avoid unnecessary stress and gives your child plenty of time to be cleared for participation.

4. Check Medications and Medical Forms

If your child has asthma, severe allergies, ADHD, diabetes, or another chronic medical condition, now is a great time to make sure everything is ready for school.

Before the first day, double-check that:

• Prescription medications haven’t expired.
• Inhalers or EpiPens are easy to find.
• The school has updated medication forms.
• Teachers and the school nurse are aware of any important medical needs.

Taking care of these details now can give everyone a little more peace of mind once school starts.

5. Pay Attention to Vision and Hearing Changes

Sometimes a child who seems distracted or is struggling in school isn’t having a behavior problem at all—they simply can’t see the board or hear instructions clearly.

If you’ve noticed your child squinting, sitting unusually close to the television, complaining of headaches, or asking people to repeat themselves, mention it during their next visit. Small issues caught early can make a big difference in the classroom.

6. Expect Some First-Day Jitters

Even children who love school can feel nervous before a new school year begins.

A new teacher, different classmates, unfamiliar routines, or moving to a new grade can all bring up big emotions. That’s completely normal.

Talk with your child about what they’re excited about and what they’re nervous about. Sometimes simply listening and reassuring them that those feelings are okay can make all the difference.

If your child is experiencing severe anxiety, frequent stomachaches, headaches, panic, or refuses to go to school, don’t hesitate to reach out to your pediatrician.

For more information, check out our blog on Back-to-School Anxiety in Kids: What’s Normal and What’s Not.

7. Remember That Healthy Habits Matter More Than Perfect School Supplies

As parents, we spend a lot of time making sure our kids have the perfect backpack, lunchbox, and folders. Those things are important—but the habits they take into the school year matter even more.

Before school starts, try to focus on a few simple routines:

• Eat a healthy breakfast every morning.
• Pack a water bottle.
• Encourage daily physical activity.
• Limit screen time before bed.
• Create a consistent morning and bedtime routine.

These small habits help children stay healthy, focused, and ready to learn throughout the school year.

One Last Thought

As a mom, I know how quickly this season goes from lazy summer mornings to packed lunches, homework, and after-school activities. It is a busy time for every family, and it’s easy to feel like you have to do it all.

The truth is, preparing your child for school isn’t about perfection. It’s about making sure they’re healthy, confident, and ready to learn.

If your child needs vaccines, a yearly wellness visit, a sports physical, or if you simply have questions before school starts, we’re here to help.

From all of us at Mid City Pediatrics, we hope your family has a healthy, happy, and successful school year!

Ready for the School Year?

If your child is due for a wellness visit, immunizations, or a sports physical, now is the perfect time to schedule an appointment before the back-to-school rush. We look forward to helping your child start the school year healthy and ready to thrive. Call to schedule your child’s appointment today.

If you have noticed small, smooth bumps appearing on your child’s skin that seem to spread over time, you may be seeing molluscum contagiosum. While the name sounds alarming, molluscum is actually a very common and harmless viral skin infection in children.

Many parents first notice molluscum when they see small bumps on their child’s skin and begin searching online to find out what the rash might be.

At Mid City Pediatrics, we see this frequently in toddlers and elementary-aged children. The good news is that it is benign and usually resolves on its own.

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Quick Facts About Molluscum

• Molluscum contagiosum is a common viral skin infection in children.
• It causes small, smooth bumps with a tiny center indentation.
• The bumps are harmless and usually go away on their own.
• The virus spreads through skin contact and shared items like towels.
• Most cases resolve within 6–18 months without treatment.

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What Is Molluscum Contagiosum?

Molluscum contagiosum is a skin infection caused by a virus in the poxvirus family. It causes small bumps on the skin that often have a smooth surface with a tiny indentation in the center.

These bumps may appear:
• Flesh-colored or slightly pink
• Shiny or pearly
• About the size of a pinhead to a pencil eraser
• Sometimes grouped together

The bumps most commonly appear on:
• Arms
• Legs
• Torso
• Face
• Behind the knees or inside the elbows

They are usually not painful, though some children may develop itching or irritation around them.

Children with eczema (atopic dermatitis) may be more likely to develop molluscum or have it spread more easily because their skin barrier is weaker.

How Do Children Get Molluscum?

Molluscum spreads through direct skin-to-skin contact or by touching objects that have the virus on them.

Common ways children catch it include:
• Sharing towels
• Close contact during play
• Swimming pools
• Gymnastics or contact sports

Once a child has molluscum, scratching the bumps can cause the virus to spread to other areas of their own skin, which is why the bumps sometimes seem to multiply.

Is Molluscum Dangerous?

The reassuring answer is no.

Molluscum contagiosum is not harmful and does not cause long-term problems in healthy children. In most cases, the bumps gradually disappear as the immune system clears the virus.

However, this can take time. The bumps may last:
• 6 to 12 months
• Sometimes up to 18 months or longer

Sometimes the bumps may become red, inflamed, or crusted before they go away. While this can look concerning, it is often a sign that the immune system is beginning to clear the virus.

Should Molluscum Be Treated?

In many cases, no treatment is necessary.

Because the condition resolves on its own, the main goal is often simply preventing irritation or spread.

Treatment may be considered if:
• The bumps are spreading rapidly
• They become inflamed or infected
• They are causing significant itching
• They are located in sensitive areas such as the face

Possible treatments include topical medications or procedures performed by dermatologists, but many families choose a watch-and-wait approach.

Tips to Prevent Spreading

If your child has molluscum, these simple steps can help limit spread:
✔ Avoid scratching or picking at the bumps
✔ Wash hands frequently
✔ Do not share towels or washcloths
✔ Cover bumps with clothing or a bandage if possible
✔ Keep skin moisturized to reduce itching

When Should You Call Your Pediatrician?

Contact your pediatrician if:
• The bumps become red, swollen, or painful
• There is drainage or signs of infection
• The rash spreads very rapidly
• You are unsure whether the bumps are molluscum

We are always happy to take a look and help guide you through the best approach for your child.

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Frequently Asked Questions About Molluscum

Is molluscum contagious? Yes. It spreads through skin contact and shared items such as towels or clothing.

Can my child go to school or daycare with molluscum? Yes. Children with molluscum can usually continue normal activities.

Should the bumps be covered? Covering bumps with clothing or a bandage can help reduce spreading, especially during sports or close contact activities.

Will the bumps leave scars? Most molluscum bumps resolve without scarring, especially if they are not picked or scratched.

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The Bottom Line

Molluscum contagiosum may look concerning, but it is a very common and harmless childhood virus. With a little patience and some simple precautions, it usually disappears on its own.

If you live in the Shreveport or Bossier area and are concerned about a rash or bumps on your child’s skin, the doctors at Mid City Pediatrics would be happy to evaluate your child and answer any questions.

Why World Mental Health Day Matters

October 10 is World Mental Health Day — a global reminder that mental health is just as important as physical health. At Mid City Pediatrics, we see every day how emotional well-being affects a child’s overall growth, relationships, and school success.

At Mid City Pediatrics, we believe caring for children means caring for the whole child — body and mind. Mental health is a topic close to my heart, not only as a physician but also because I’ve seen how deeply it can affect families, including my own. Losing a loved one to mental illness gave me a firsthand understanding of how powerful — and how fragile — emotional well-being can be. That experience strengthened my commitment to helping children and parents talk openly about mental health, seek help early, and know they are never alone.

Just like we check growth charts and vaccines, it’s essential to check in on how kids are feeling. Even the happiest, most resilient children experience stress, anxiety, or sadness — and learning to manage those emotions early can make a lifelong difference.

Children Feel Stress Too

From toddlers to teens, children face real stressors:
– Academic pressure
– Social media and peer comparison
– Family transitions or conflict
– Changes in routine or sleep
– Worry about world events they don’t fully understand

Even very young children can show signs of stress or anxiety — often through physical symptoms like stomachaches, headaches, or sleep problems rather than words. If your child seems more withdrawn, irritable, or worried than usual, it’s okay to reach out. Sometimes they need help understanding feelings they can’t yet express.

What We See at Mid City Pediatrics

In recent years, more families have opened up about concerns like:
– School anxiety
– Difficulty focusing
– Mood changes after stressful events
– Social isolation or bullying

Our physicians take these concerns seriously. We screen for mental health at well visits, listen without judgment, and connect families with resources — whether that’s counseling, therapy, or school support.

How Parents Can Support Their Child’s Mental Health

1. Talk Openly and Often

Start conversations about emotions the same way you would talk about school or sports. Ask questions like:
– “What was the best part of your day?”
– “Was there anything that made you feel frustrated or worried?”

You don’t have to fix every problem — just listening helps your child feel safe sharing. When you normalize these talks, kids learn that feelings are nothing to be ashamed of and that it’s okay to ask for help.

Tip: Younger children often express emotions better through play or drawing. Let them “show” you how they feel if they can’t find the right words yet.

2. Model Calm Coping Skills

Children learn emotional regulation by watching how adults handle stress. If you take a deep breath instead of raising your voice, your child learns to do the same. Show them that everyone feels frustrated sometimes and demonstrate healthy ways to calm down — like taking a short walk, praying or meditating, or using slow, deep breathing.

When parents model calm reactions, children internalize that they can manage their own big feelings too.

3. Keep Routines Consistent

Predictable routines give children a sense of safety and stability, especially during stressful times. Simple patterns like family meals, bedtime rituals, and regular school-night schedules can anchor a child emotionally.

When kids know what to expect, they worry less and feel more in control of their day. Even small changes, like keeping bedtime consistent on weekends, can make a big difference in mood and behavior.

4. Encourage Sleep, Physical Activity, and Good Nutrition

A child’s body and brain are deeply connected. Lack of sleep, too much screen time, and poor nutrition can all affect mood and attention span. Aim for:
– Enough sleep: Most school-aged children need 9–12 hours a night.
– Daily movement: Outdoor play, sports, or even family walks help release stress hormones.
– Balanced meals: Regular meals with fruits, vegetables, and protein stabilize energy and mood.

Exercise and sleep are two of the most powerful, natural ways to reduce anxiety in children.

5. Limit Screen Time and Social Media

It’s no secret that screens can increase anxiety, comparison, and overstimulation. Too much time on social media can make children feel pressured to look or act a certain way. Set gentle limits — for example, no screens during meals or one hour before bedtime — and keep devices out of bedrooms overnight.

Encourage real-world interactions and creative play. Kids who spend time talking, reading, and playing face-to-face develop stronger social and emotional skills that last a lifetime.

When to Reach Out for Help

You know your child best. If their emotions start interfering with daily life — difficulty eating, sleeping, going to school, or enjoying favorite activities — that’s the time to check in with your pediatrician.

We are here to listen, support, and guide your family to the right care.

If you have concerns about your child’s emotional well-being, call Mid City Pediatrics at (318) 221-2225 or request an appointment through your patient portal.

A Message from Our Team

Your child’s mental health matters every day — not just on October 10. Together, we can help children grow up confident, resilient, and emotionally strong.

Mid City Pediatrics – Caring for the hearts and minds of Shreveport, Bossier, and the surrounding area’s children.

🌐 http://www.midcitypeds.com
📞 Need to schedule an appointment or speak to one of our providers? Call Mid City Pediatrics today at 318-221-2225

Every fall, families start to see signs of the season — cooler mornings, football games, pumpkin patches… and unfortunately, flu season. At Mid City Pediatrics, we know parents often wonder: “Didn’t my child already get a flu shot last year? Do they really need another one?” The answer is yes — and here’s why.

1. The Flu Virus Changes Every Year

Influenza is a virus that mutates constantly. The strains that spread last year aren’t necessarily the ones we’ll see this year. Each spring, scientists study circulating flu viruses around the world and update the annual vaccine to protect against the strains most likely to appear in the coming season. That’s why the flu shot is different each year — it’s like getting a brand-new shield customized to what’s coming.

2. Immunity Fades Over Time

Even if your child received a flu vaccine last fall, their protection gradually decreases over the next 6–12 months. By the time flu season rolls around again, that immunity isn’t strong enough to provide reliable protection. An updated vaccine every year helps maintain full, effective coverage — especially important for young children, who are more prone to complications like pneumonia, ear infections, and dehydration.

3. The Flu Can Be Serious — Even in Healthy Kids

While many children recover from the flu within a week, others can become very sick. Each year, thousands of children in the U.S. are hospitalized due to influenza, and some lose their lives — even previously healthy ones. A yearly flu vaccine is the best way to prevent severe illness, missed school days, and hospital visits.

4. Getting the Flu Shot Protects the Whole Family

Children are often the ones who bring viruses home. Vaccinating them helps keep younger siblings, grandparents, and others with chronic conditions safe from exposure. It’s one small step that makes a big difference for your entire household — and your community.

5. It’s Quick, Easy, and Available Now

At Mid City Pediatrics, we make getting your child’s flu shot simple. You can schedule it during your child’s regular visit, visit us for a walk-in during our scheduled times, or come to one of our drive-thru flu clinics. Insurance plans cover the flu vaccine with no out-of-pocket cost. We even vaccinate parents!

Appointments are available now — call us at (318) 221-2225 or request a flu shot visit through your patient portal.

A Healthier Fall Starts with Prevention

A few minutes for a flu shot now can prevent weeks of illness later. Help your child enjoy a healthy, happy fall — protected from the flu. Mid City Pediatrics – Caring for Shreveport’s children, one season at a time.

🌐 http://www.midcitypeds.com
📞 Need to schedule an appointment or speak to one of our providers? Call Mid City Pediatrics today at 318-221-2225

The start of a new school year can bring lots of excitement—but also some jitters, especially for kids. As a pediatrician and a mom, I’ve lived this firsthand.

When my kids were in elementary school, their biggest worry was whether they’d get the teacher they were hoping for—or if their best friend would be in the same class. In middle school, that anxiety shifted to whether they’d be on the same lunch shift as their friends. And by high school, the nerves were still there—just different. I remember the mild panic over figuring out where to park or getting lost on the first day of a new schedule.

Many children experience back-to-school anxiety, and the good news is that in most cases, it’s completely normal. But sometimes, anxiety can become more intense, interfere with daily life, or be a sign of something more serious.

Here is how to tell the difference—and what you can do to support your child.

What’s Normal?

Some signs of back-to-school nerves are completely expected, especially in the first couple of weeks:

✅ Mild trouble sleeping the night before school starts

✅ Complaints of “butterflies” in the stomach

✅ Clinginess at morning drop-offs

✅ Worries about making friends, meeting a new teacher, or getting lost at school

✅ Tears that usually stop soon after drop-off

Most kids adjust after a week or two as they settle into new routines and realize things aren’t as scary as they imagined.

When It Might Be More Than Just Jitters

Watch for these signs that anxiety may need more attention:

🚩 Worries that seem excessive or continue beyond the first few weeks

🚩 Frequent headaches or stomachaches without a medical cause

🚩 Refusing to go to school or getting physically ill before school

🚩 Trouble sleeping most nights

🚩 Panic attacks, extreme meltdowns, or prolonged sadness

🚩 Withdrawal from activities or friends they used to enjoy

If you’re seeing these red flags, it’s a good idea to talk with your child’s doctor. We can help screen for anxiety and other mental health concerns and guide you on next steps—whether that’s school counseling, therapy, or other support.

How You Can Help at Home

📝 Get back into routines early.

Predictable mornings, evenings, and bedtimes give kids a sense of security. Many kids are out of a routine in the summer, so starting the school year tired and cranky is never a great way to begin. Start practicing school-day routines a couple of weeks before the first day to make the transition smoother.

💬 Talk through fears.

Let your child know it’s okay to feel nervous and that they’re not alone. Instead of brushing off their worries with “You’ll be fine,” try saying, “I remember feeling nervous before school too.” Ask specific questions like, “What part of the day are you most worried about?” or “Is there something that would help you feel better in the morning?”

Sometimes just naming the fear can make it seem less overwhelming. You can also role-play how to handle certain situations, like introducing themselves to someone new or asking the teacher for help. Practicing these moments gives kids a sense of control and confidence going into the first day.

🎒 Visit the school.

If your child is especially anxious, walk through the building, meet the teacher, or show them their classroom if possible. One of the best ways to ease anxiety is to visit the place your child is nervous about before the pressure is on.

When kids can walk the halls, see their classroom, find their locker, or even practice the drop-off routine in a calm setting, it helps their brain register that space as familiar and safe. Seeing it without stress gives them a mental map to fall back on later—so when the first day arrives and emotions are high, it won’t feel quite so overwhelming. It’s like a rehearsal—and that dry run can make the real thing much easier.

🎧 Model calm.

Kids are incredibly tuned in to our emotions—often more than our words. If they sense that we’re anxious, rushed, or overwhelmed, they’re likely to mirror those feelings. On the flip side, if we stay calm and confident, it reassures them that everything is going to be okay.

That doesn’t mean pretending everything is perfect. It means showing them how to manage stress with steadiness. For example, if you’re running late, instead of saying, “We’re going to be late! Hurry up!” try, “We’re running a little behind, but we’ve got this. Let’s keep moving.” That kind of response helps children see that stress doesn’t have to lead to panic. Your attitude sets the emotional tone for the day, and if you treat the first day of school as a positive adventure (even with a few hiccups), your child will be more likely to approach it that way too.

🧡 Celebrate small wins.

For a child who’s feeling anxious, even small accomplishments can be a big deal. Whether it’s walking into school without tears, asking the teacher a question, finding their classroom without help, or simply making it through the day, it’s worth recognizing and celebrating.

You don’t have to throw a party—just a high five, a hug, or saying, “I saw how brave you were today!” can go a long way. When kids feel acknowledged for their efforts, it builds their confidence and helps them feel more capable of handling the next challenge.

You might even set small goals together, like, “Let’s try to say hi to one new person today,” or “Let’s make it through the morning drop-off without any tears.” Every time they succeed, they’re building emotional resilience—and that’s always worth cheering for.

When to Call Us

If your child’s back-to-school worries are starting to interfere with their sleep, appetite, behavior, or ability to attend school, give us a call. The earlier we address anxiety, the easier it is to manage.

We are here to support your child’s whole health—body and mind—as they start the new school year. Let’s make it a great one!

—

🌐 http://www.midcitypeds.com
📞 Need to schedule an appointment or speak to one of our providers? Call Mid City Pediatrics today at 318-221-2225

At Mid City Pediatrics, we are always looking for innovative ways to better understand and support the children and families we serve. One of the latest tools available in our practice is FRAT® testing (Folate Receptor Autoantibody Test)—a specialized blood test that may uncover an important underlying factor in children with autism, speech delays, seizures, and other developmental challenges.

What Is FRAT®?

FRAT® is a blood test that detects autoantibodies against folate receptor alpha (FRα). This receptor helps transport folate (vitamin B9) into the brain—an essential process for healthy brain development, neurotransmitter function, and cognition.

When these autoantibodies are present, they may block or interfere with folate transport into the brain. This condition is known as cerebral folate deficiency (CFD). Even if a child has normal folate levels in their blood, the brain may still be folate-deficient if these antibodies are present.

Why Does It Matter?

Recent research shows that up to 75% of children with autism spectrum disorder (ASD) may have folate receptor autoantibodies. Identifying this issue can help target treatment more effectively.

Children with CFD related to FRα autoantibodies may experience:

• Speech and language delays
• Behavioral challenges or irritability
• Repetitive behaviors
• Developmental regression
• Attention and focus issues
• Seizures or other neurological symptoms

In such cases, addressing the deficiency may lead to meaningful improvements in communication, behavior, and overall development.

How Is the Test Done?

At Mid City Pediatrics, we offer FRAT® testing and follow-up care. Here’s how it works:

1. Schedule an appointment with one of our pediatricians to discuss your child’s symptoms and medical history.
2. If appropriate, we’ll order the test and provide instructions.
3. Your child’s blood is drawn at our in-house lab.
4. The sample is processed by a certified specialty lab, with results typically available in 4–6 weeks.
5. We’ll contact you to review the results and discuss next steps.

What If the Test Is Positive?

If your child tests positive for folate receptor autoantibodies, treatment typically includes a prescription for folinic acid (leucovorin calcium)—a form of folate that can bypass the blocked receptors and reach the brain. Studies have shown that some children respond with improvements in:

• Verbal communication
• Social interaction
• Attention span
• Emotional regulation

Some families also choose to try a dairy-free diet, as bovine milk may increase autoantibody activity in certain cases.

At Mid City Pediatrics, we will work closely with you to create a personalized treatment plan and monitor your child’s progress.

Learn More

To read more about the FRAT® test and the research behind it, visit the official website:
🔗 http://www.fratnow.com

If you believe this test might be helpful for your child, we are here to help.

Please Note: 

Due to the increased demand for FRAT testing and limited availability of Leucovorin, the physicians at Mid City Pediatrics are limiting FRAT testing to established patients only at this time.  We encourage those who are not established patients to reach out to your primary care provider for more information regarding FRAT testing and treatment using Leucovorin.

Call our office to schedule a consultation with one of our pediatricians. We’re happy to walk you through the process and answer any questions.

📞 318-221-2225
🌐 http://www.midcitypeds.com

This blog post is for informational purposes only and is not intended to diagnose any medical condition. Please consult with your pediatrician to determine if this test is appropriate for your child.

Measles, once a common childhood illness, has become rare in many parts of the world due to effective vaccination programs. However, recent outbreaks highlight the importance of understanding this disease, its history, and the critical role of immunization.

A Brief History of Measles

Measles is a highly contagious viral disease that has affected humans for centuries. Before the introduction of the measles vaccine in 1963, almost all children contracted the disease by the age of 15. In the United States alone, an estimated 3 to 4 million people were infected annually, leading to approximately 400 to 500 deaths, 48,000 hospitalizations, and 1,000 cases of encephalitis (brain swelling) each year.

The Impact of the MMR Vaccine

The introduction of the Measles, Mumps, and Rubella (MMR) vaccine in 1963 marked a turning point in public health. Widespread vaccination led to a dramatic decline in measles cases, with the disease declared eliminated in the U.S. in 2000. Globally, measles vaccination prevented more than 60 million deaths between 2000 and 2023. 

Measles: Who gets it and how?

• Spreads through respiratory droplets when an infected person coughs or sneezes.
• Virus can remain active on surfaces and in the air for up to two hours, making it exceptionally contagious. 
• 90% of susceptible individuals (those unvaccinated or without prior immunity) in close contact with an infected person will contract the disease. 

Recognizing Measles in Children

Early symptoms of measles include:

• High fever: Often spiking above 104°F.
• Cough: Persistent and dry.
• Runny nose: Clear discharge.
• Red, watery eyes: Also known as conjunctivitis.

A few days after these initial symptoms, a characteristic red, blotchy rash appears, typically starting on the face and then spreading downward to the rest of the body. Small white spots, known as Koplik’s spots, may also appear inside the mouth.

Potential Complications

While measles is often perceived as a mild illness, it can lead to severe complications, especially in young children, pregnant women, and individuals with weakened immune systems. These complications include:

• Pneumonia: Occurs in about 1 in 20 children with measles and is the most common cause of measles-related death in young children.
• Encephalitis: A serious brain inflammation occurring in approximately 1 in 1,000 measles cases, which can lead to convulsions and leave the child deaf or with intellectual disabilities.
• Subacute Sclerosing Panencephalitis (SSPE): A rare but fatal degenerative disease of the central nervous system that can develop years after a measles infection. 

For every 1,000 children who contract measles, 1 or 2 will die from it.

The Importance of Vaccination

Despite the availability of a safe and effective vaccine, measles outbreaks still occur, primarily in areas with low vaccination rates. Recent data shows a resurgence of measles cases in regions of the US where vaccine coverage has declined. For instance, as of February 18th, 2025 in rural West Texas, there have been 58 confirmed cases of measles, up from 24 earlier that week. Over half of the earlier 24 confirmed cases needed to be hospitalized. This is the largest measles outbreak Texas has seen in 30 years. 

The MMR vaccine is about 97% effective at preventing measles after two doses. Common side effects are usually mild and temporary, such as a sore arm, fever, or mild rash. Some individuals decline the MMR vaccine due to concerns about “mercury in the vaccine” and fears of it “causing autism.” It’s important to clarify that thimersol, a mercury-based preservative, was removed from all routine childhood vaccines in the United States by 2001 (except for some multidose flu vaccines and one form of tetanus vaccine). Notably, the MMR vaccine has NEVER contained thimerosal! Extensive research has found no credible evidence linking thimerosal in vaccines to autism or other neurodelopmental disorders. Studies have shown that autism rates continue to rise even after thimerosal was removed from vaccines in 2001. 

Current Concerns and Recommendations

In light of recent changes and the loosening of vaccine mandates by public health officials for certain vaccines, pediatricians across the US continue to urge parents to fully vaccinate their children. The resurgence of diseases like measles poses a significant threat, especially considering the fact that many physicians practicing today have never encountered these illnesses firsthand due to previous successful vaccination campaigns.

Ensuring your child receives the complete MMR vaccination not only protects them but also contributes to community immunity, safeguarding those who cannot be vaccinated due to medical reasons. Consult with your pediatrician to keep your child’s immunizations up to date and to address any concerns you may have about vaccine safety and efficacy.

Our Stance On Vaccines

All of the physicians at Mid City Pediatrics feel that vaccines are safe and effective, including the MMR vaccine. We urge our families who are hesitant about receiving vaccines to have a discussion with your pediatrician. 

Sources: CDC, WHO, UpToDate

The New Year is always a time of reflection and goal setting in my household. As a mother of three, I’ve found that involving children in the tradition of making New Year’s resolutions is not just fun—it’s an opportunity to instill important life lessons. Now that my kids are a bit older, I can look back on how this tradition helped shape their independence and resilience.

Why Make New Year’s Resolutions with Your Children?

When my kids were younger, making resolutions together became a cherished tradition. It wasn’t about perfection; it was about growth, learning, and spending meaningful time as a family. These resolutions taught them:

• Goal Setting: They learned how to think about what they wanted to achieve and make a plan.
• Responsibility: They started understanding how their choices impacted their goals.
• Resilience: They discovered how to keep going, even when things didn’t go as planned.
• Self-awareness: It was a chance to reflect on their strengths and where they could improve.

How to Create Resolutions by Age Group

Tailoring the process to your child’s age and stage makes all the difference. Here are some approaches I used with my kids at various stages:

Preschoolers (Ages 3-5)

When my kids were very young, their resolutions were action oriented. They should be simple and fun.

• Example: “I will put my toys away after playing.”
• Tip: Keep it playful and use visual reminders like stickers or charts—they love seeing their progress!

Elementary School Children (Ages 6-10)

In this stage, resolutions became slightly more ambitious. They should build on their growth and sense of independence. 

• Example: “I will read a book for 10 minutes every night before bed.”
• Tip: Make it collaborative. Sit down as a family and brainstorm ideas.

Tweens and Teens (Ages 11-18)

By the time they were teens, my kids started setting goals that aligned with their personal interests. These goals may be more abstract or long-term. Their resolutions might focus on personal development, academics, or social relationships.

• Example: “I will practice my guitar three times a week” or “I will spend less time on social media during school nights.”
• Tip: Let them take ownership. Teens respond well to autonomy and respect.

Tips for Success

1. Model the Behavior: I always shared my own resolutions with my kids—it showed them I was learning and growing too.
2. Make it Positive: Instead of “no more messy rooms,” we would say, “I will tidy up my room every Saturday.”
3. Celebrate Progress: A family dinner to celebrate milestones kept everyone motivated.
4. Be Flexible: Goals can evolve, and that is okay. It’s all part of the process.

Final Thoughts

Looking back, I am grateful we made resolutions a part of our family life. Now, as young adults, my children still carry the skills they learned—goal setting, perseverance, and reflection—into their own lives.

If you have not tried making New Year’s resolutions with your children, give it a go this year. It might just become one of your favorite traditions, as it did for my family.

Here’s to a wonderful New Year filled with growth, learning, and shared moments!

Keeping the Holidays Merry and Bright: Protecting Your Family from the Flu This Christmas

As Christmas approaches, many of us are looking forward to spending time with loved ones, sharing meals, and making memories. But for families with little ones feeling under the weather, the holiday season can bring its own set of challenges—especially with the high rate of influenza circulating right now.

If you have a sick child this Christmas, it’s natural to feel disappointed or worried about missing out on family traditions. Remember, prioritizing health now ensures everyone can enjoy many more joyful moments in the future.

What to Watch for: Flu Symptoms in Children

Influenza can come on quickly and may hit children hard. Be on the lookout for:

• Fever (sometimes with chills)
• Cough or sore throat
• Runny or stuffy nose
• Body aches or fatigue
• Headache
• Vomiting or diarrhea (more common in children than adults)

These symptoms can often be confused with a cold or other illness, so it’s important to keep a close eye on how your child is feeling.

Flu in Louisiana: What the Numbers Say

The flu season is hitting hard this year. Nationally, the CDC estimates at least 1.9 million flu illnesses, 23,000 hospitalizations, and 970 deaths so far. Louisiana is seeing particularly high flu activity, with over 11% of flu tests returning positive, compared to a national positivity rate of 3.5%.

When to Call the Doctor

While most flu cases can be managed at home, call your pediatrician if your child has:

• Difficulty breathing or very fast breathing
• Persistent high fever that doesn’t respond to medication
• Signs of dehydration (e.g., fewer wet diapers, dry lips, or no tears when crying)
• Extreme fatigue or difficulty waking up
• Flu symptoms in a baby under 6 months old
• Extremely sore muscles (e.g., muscles so sore it might be difficult to walk)

It’s always better to check in if you’re unsure. We’re here to help. (318-221-2225)

How to Care for Your Sick Child at Home

When the flu hits, focus on:

• Rest and hydration: Keep your child comfortable with plenty of fluids and downtime.
• Fevers: Use acetaminophen or ibuprofen to manage discomfort (never aspirin for children and no ibuprofen for children under 6 months of age).
• Keeping germs at bay: Encourage frequent handwashing and teach kids to cough into their elbows.

When Is It Safe to Be Around Others?

If your child has the flu, they can be contagious for about 5-7 days after symptoms start (and even longer in younger children). As a rule of thumb, wait until they’ve been fever-free for at least 24 hours without medication before allowing them to be around others.

We know it’s hard to stay away from family gatherings, but this step helps protect vulnerable loved ones—like grandparents or infants—who might face serious complications if they catch the flu.

Protecting Your Family This Holiday Season

With all the excitement of Christmas, here are a few tips to keep your family safe:

• Vaccination: It’s not too late for the flu shot!
• Hand hygiene: Keep little hands (and big ones) clean with soap and water or hand sanitizer.
• Limit exposure: If anyone in the family feels sick, stay home and rest.

Finding Joy in the Moment

If your holiday plans are disrupted by illness, remember that the love and connection of Christmas don’t have to fade. Whether it’s snuggling on the couch with a favorite holiday movie or calling family via video chat, there are still ways to make the season special.

Your family’s health comes first, and sometimes, the greatest gift we can give is keeping others safe. Here’s to a merry, healthy holiday season and a bright start to the new year!