From Crib to Bed: Ensuring a Smooth Transition

Friday, December 12, 2014 3:04 PM comments (0)

cribThere is no magic age for when it’s best to transition your toddler from a crib to the “big-kid” bed. Much of the timing depends on your child’s readiness as well the need to free up the crib for a new little brother or sister. In most cases, toddlers transition to a bed between the ages of 18 months to 3 years.

Whether you are mid-transition or only in the planning stages, Susan Roth, MD, Pediatrician at NorthShore, offers helpful tips to make the change a smoother one:

  • Maintain consistency with a bedtime routine. A big-kid bed shouldn’t mean a new bedtime hour or a different routine. Keep the bed the only significant change. Also, try to put your child’s new bed in the same place as the crib.
  • Make it fun! Get your child involved with this “big girl”/“big boy” step. For instance, let him or her choose new sheets for the bed. If you will be purchasing a new bed, let your child help out with this decision as well.
  • Start with naps. Make the new bed the naptime bed to start. If your child can’t manage to stay in his or her bed for the duration of an afternoon nap, it might be too early to make the transition. 
  • Keep safety in mind. Depending on the type of bed that you select, be sure that you are providing a safe sleeping environment for your toddler. If you transition straight to a twin bed, it may be best to place the mattress on the floor for a while. If this isn’t an option, consider installing guard rails so your child does not roll out of bed. Padding the floor with blankets and/or pillows can also help reduce the chance of injury.

    This is also a good time to rethink and revisit your overall household childproofing. Now that your child may get out of bed and walk around at night consider removing or safety-proofing other household hazards. If needed, consider installing a gate in your child’s doorway so he or she cannot exit the bedroom. This may be especially important in homes with an accessible staircase.
  • Be supportive, yet firm. Your toddler may not adjust to this new bed immediately. The newfound freedom may lead to him or her getting up more frequently or even trying to get out of bed. Try to stay calm and reinforce that it’s time for sleeping. 
  • Reward positive behavior. Don’t expect this transition to be without its hiccups. Be sure to positively reinforce a job well done throughout this transition period.

Have questions about transitioning your toddler from a crib to a bed? Join NorthShore's new online community, The Parent 'Hood, to ask and answer questions as well as connect with our team of medical experts. Check it out here


Keeping the Roads Safe During the Holidays

Monday, December 08, 2014 4:44 PM comments (0)

Designated DriverThis time of year, schedules fill up quickly with special events and gatherings of friends and family that often involve the consumption of alcohol.  Many people drink more often and consume more in these weeks than at any other time during the year and most are not used to assessing their own ability to drive, particularly on winter’s more dangerous roadways.  This all adds up to conditions in which drunk or impaired driving is not only possible and more likely, which is why December is National Impaired Driving Prevention Month.

A recent study by the U.S. Department of Transportation showed that DUI arrests peak between Thanksgiving and the end of December, and that the average daily death rate caused by drunk/drugged drivers increases from 36 to between 45 and 54 on Christmas and New Years Eve respectively.  In addition, the Center for Disease Control estimates that 25,000 people will experience injuries during the same period as a result of accidents in which the driver is impaired. These numbers reflect a decline over previous decades, but each incident represents a family devastated, a son, daughter, husband, wife or friend not returning home. 

Ina Sherman, Certified Alcohol and Drug Counselor at  NorthShore’s Doreen E. Chapman Center, shares her suggestions for helping to ensure that you and your friends and family celebrate responsibly and that everyone out on the roads reaches their holiday destinations safe and sound:

  • Designate a driver. The most important thing you can do is ensure there is a designated driver. Designated drivers have saved thousands of lives over the years. Make a plan before you leave for a party that includes a designated driver.  And remember, a designed driver always has a blood alcohol content (BAC) of 0.00. That means no drinking at all.
  • Have non-alcoholic options available. The drink you have in your hand doesn’t need to be alcoholic and maybe it wouldn’t be if there were other options available. Make sure to have non-alcoholic beverages available for those who don’t want to drink or would like to switch to something non-alcoholic later in the evening. Consider including one or two mock-tail recipes on your drink menu. 
  • Use extra caution on the roads. You have designated a driver, but there might be others on the road who haven’t. Make sure to be extra vigilant out on the roads during the holidays. Keep your eyes on the road and if you see anyone driving erratically, be sure to report them and their location to the authorities!

Do you make sure to designate a driver at each holiday celebration?


Healthy Holiday Travel Tips [Infographic]

Wednesday, December 03, 2014 3:50 PM comments (0)

Ready or not, the holidays are on their way. Soon millions will flock to airports or hit the highways on the way to celebrations across the country and beyond. Don't let the stress of this season's travel take a toll on your health and holiday spirit. 

NorthShore University HealthSystem shares some simple holiday travel tips to help you arrive at your destination happy, healthy and ready to celebrate with your friends and family all season long.



Safe and Sound: Reducing SIDS in Infants

Monday, December 01, 2014 4:56 PM comments (0)

For exhausted new parents, it can be a relief when your infant finally settles down to sleep for the night (or even just a couple of hours) but there can be fear as well. Sudden Infant Death Syndrome (SIDS) can happen even when all the right safety measures are practiced. The exact cause of SIDS is unknown. SIDS is most common in infants less than six months of age but can occur between one month and one year. 

While nothing can prevent every case, there are ways to significantly reduce the risk of SIDS. William MacKendrick, MD, Neonatologist at NorthShore, shares safe sleeping recommendations every parent should practice:

  • Place your baby on his or her back in the crib. Incidences of SIDS are higher in babies placed on their stomachs to sleep.
  • Use a firm mattress and don't place anything other than your infant in the crib. It’s important to keep all toys, sheets, blankets, pillows and other materials out of the crib as they can be unsafe and hazardous. Crib bumpers are also not recommended.
  • Keep your baby away from smoke. If you smoke, only smoke outdoors away from your child. Fumes from smoking can increase a baby's risk for breathing difficulties.
  • Avoid co-sleeping (sleeping in the same bed) with your infant; however, cribs can be kept in your bedroom but your baby should sleep in his or her crib.
  • Keep the temperature in your baby’s room comfortable but not too warm. Warmer temperatures can put your baby too deeply to sleep, making it difficult to wake.

Have your own questions about safe sleeping or another parenting topic? Join the conversation in our new online community: The Parent 'Hood. 


Fresh Recipe: Warm Spinach and Artichoke Dip

Tuesday, November 25, 2014 3:41 PM comments (0)

thanksgivingDon’t let your Thanksgiving favorites leave you feeling guilty the next day. Start things off right with veggie-packed appetizers that are sure to please even holiday food traditionalists. 

Katrina Herrejon, Registered Dietitian and Certified Diabetes Educator, Adult Endocrinology Group, shares one of her favorite Thanksgiving starters:  

Recipe makes 6 servings
Serving size 2/3 cup

2 cans artichoke hearts, rinsed and drained (16 oz.)
1/2 cup reduced fat mayonnaise (4 oz.)
2/3 cup cooked spinach or frozen spinach that has been thawed (4 oz.)
2/3 cup white extra sharp cheddar cheese, shredded (3 oz.)


  • Preheat oven to 350 degrees.  
  • Place 1/2 of the artichoke hearts and the mayonnaise in a food processor and blend until smooth.
  • Chop the remaining artichoke hearts and the spinach into small pieces.
  • Fold the chopped spinach and artichoke hearts into the pureed artichoke and mayonnaise mixture.
  • Mix 1/2 of the shredded cheese into the dip.
  • Transfer dip into an oven safe 9-inch glass pie plate.
  • Sprinkle the top of the dip with the remaining cheese.
  • Bake for approximately 20 minutes or until the top of the dip is golden brown.
  • Serve dip warm with high fiber crackers and/or raw vegetables.

Nutrition Information (per 2/3c serving):

Calories: 149
Total Fat: 10
Total Carbohydrate: 8
Fiber: 2
Protein: 6


Simple Tips to Avoid Overindulging on Thanksgiving Day

Monday, November 24, 2014 1:18 PM comments (0)

thanksgivingCounting calories isn’t at the top of many to-do lists on Thanksgiving Day, and it still doesn’t have to be. With a little planning and a few substitutions, your Thanksgiving can be a little healthier and every bit as delicious. 

Katrina Herrejon, Registered Dietitian and Certified Diabetes Educator at NorthShore, breaks down this decadent day, sharing health tips for before and during the big meal:

Before the Dinner

  • Create a calorie deficit. Add an extra 20-30 minutes to your weekly exercise routine before and after the big day. That’s enough to create a calorie deficit and give you a little leeway at the dinner table. 
  • Eat breakfast! While you may think you should try to save up calories for the big meal, eating breakfast will save you from snacking beforehand and gorging come mealtime.
  • Prioritize. What would you regret not eating on Thanksgiving? What can you do without? The day is filled with rich, delicious foods, but you don’t have to eat them all. Determine what dishes are most important to you and then pass on the rest. 
  • Avoid snacking beforehand. Crackers, nuts and cheese spreads are unnecessary calories compared to the Thanksgiving classics you’ll be served during your meal.

When Cooking

  • Cut back on butter. A little butter goes a long way, and it’s also not the only way to boost flavors. Citrus fruits, like lemon, lime and orange, can add a burst of flavor to gravies and veggies with a fraction of the calories. 
  • Replace cream with milk. In the same vein, avoid using cream if you don’t have to. For creamed onions or mashed potatoes, use low-fat milk. The calories saved will far outweigh the subtle change in flavor.
  • Sweet potatoes are sweet enough. The natural sweetness of sweet potatoes is more than enough to sustain a yam-based dish. Bake them instead of mashing with butter, sugar and cream. 
  • Start from scratch. Making stuffing from scratch is much healthier than prepackaged stuffing mix because it cuts back on sodium and additives. It also means you have control over what goes in, including cutting back on butter and oil as well as swapping wheat bread for white to up fiber content.
  • Keep sampling to a minimum. It can be tempting to keep taste-testing your food, but try to avoid consuming those extra calories before the meal itself.

At the Table

  • Serve up a colorful plate. Vegetables add the color, so try to craft a plate that is packed with veggies, approximately half the plate and then divide the rest evenly between turkey and stuffing or rolls. 
  • Downsize dinnerware. Studies show that people serve themselves portions on scale with the size of the plate they’re given. In other words, smaller plates mean small portions. 
  • Slow down. It can take around 20 minutes for your brain to recognize that your body is full. Before you serve up seconds, take a breather and drink a little water to make sure your body isn’t confusing thirst for hunger. Or, have a basic salad on hand—dark lettuce leaves and a light dressing—and eat that to see if your hunger holds out. 
  • Less can look like more. If it’s too difficult to stick to ‘just a sliver’ of all your favorite pies, ditch the standard 9-inch diameter pie pan for something smaller. The piece will look big but be significantly smaller.

What do you do to keep holiday eating in check? 


Safety Check: Do You Have a Carbon Monoxide Detector?

Friday, November 21, 2014 12:23 PM comments (0)


We’re all busy and keeping tabs on the safety of our homes often falls by the wayside when calendars fill up quickly with day-to-day activities like getting the kids to school on time and shuttling them back and forth to practices and events. But, it’s incredibly important to make time to ensure the safety of your home.

Some household risks are easy to spot but there are some you can’t see at all. Carbon monoxide is very dangerous and because the gas is odorless and colorless, it's hard to detect without proper monitoring. Now that frigid temperatures have settled in for the winter and furnaces are working overtime, it’s even more important to make sure your family is well-protected from carbon monoxide poisoning.  

Jerrold Leikin, MD, Medical Toxicologist, shares five household safety requirements:

  • Get a UL-approved carbon monoxide detector. First and foremost, if you don’t already have a carbon monoxide monitor installed in your home, do so immediately. If you do have one, be sure to check and change the batteries frequently. You should also plan to test it on a regular basis.
  • Install your detector properly. Detectors should be placed away from windows and drafty areas. Outside air can offset readings and reduce effectiveness. You should also avoid installing a detector in your bathroom, over your oven range or any another high-humidity area.
  • Place all detectors within several feet of sleeping areas. It is recommended to have a detector on every level of your home. A basement detector should be installed at the top of the stairs.
  • Get your furnace and other gas appliances checked out annually. Having an expert evaluate your appliances can help identify leaks and other health hazards. Make sure you’re using appliances correctly; outdoor grills should never be used inside your home.
  • Know the symptoms and act fast if you suspect you may have poisoning. Some of these symptoms include dizziness, headache, nausea and confusion. Symptoms may not always be present and/or may not be distinguishable. If several members of the household notice similar symptoms, seek medical attention immediately.

Do you have a carbon monoxide detector in your home? How frequently do you check it?



Q&A: Dr. Alexandru Barboi Discusses NorthShore’s New Diagnostic Powerhouse

Friday, November 14, 2014 4:48 PM comments (0)

Dr BarboiThe NorthShore Neurological Institute recently opened a new autonomics laboratory with the assistance of Mayo Clinic experts. This emerging area of medicine identifies a rare nervous system disorder that can greatly impact the daily lives of patients. The lab comines the latest technology and a multidisciplinary team to offer patients comprehensive care for complex autonomics disorders.

Alexandru Barboi, MD, Director of the Neuromuscular and Peripheral Neurophysiology Program, answered questions on autonomic disorders and the new laboratory in Connections and continues his Q&A here:

What is the autonomic nervous system?
The autonomic nervous system controls subconscious and visceral functions, such as heart rate, digestion, respiratory rate, salivation, perspiration, swallowing and more. 

What are some common symptoms of autonomic disorders?
Patients may have difficultly standing for longer periods of time, excessive dizziness, lightheadedness, exercise intolerance, gastrointestinal symptoms, bladder and sexual dysfunction and chronic pain. Because symptoms can occur in so many different regions of the body, autonomic disorders are often very challenging to diagnose. 

What does NorthShore’s autonomics lab offer?
Our lab provides state-of-the-art, noninvasive diagnostic testing. It’s one of the most comprehensive in the region. In addition to having sophisticated technology, the lab is staffed with specially trained technicians and a team of experts working together to diagnose and develop individualized treatment plans for adults and children ages seven and older.

Who is generally affected by autonomic disorders? Does it happen more often at a certain age or to someone with an already existing disorder?
Any age group can be affected. Both sexes, but it seems that women are more frequently affected early in life. It can happen in someone who is perfectly healthy but also in people that have an underlying medical condition like diabetes mellitus or Parkinson’s disease.

Do autonomic disorders get worse over time? Is there a range, mild to severe?
Yes they can get worse over time, ranging from mild to severe. They can be completely disabling.

At what point should a patient consider the possibility they might have an autonomic disorder? When should they consider testing?
Any combination of thermoregulation, sweating, cardiac, gut, bladder, sexual dysfunction and chronic neuropathic pain should be considered for an autonomic disorder. Testing always helps define the diagnosis, aids in planning treatment and establishes severity.

What causes an autonomic disorder?
Generally it can be caused by inherited or acquired disorders. The latter can be metabolic, inflammatory, traumatic, autoimmune and degenerative.

What sparked your interest in such a unique field?
My background in internal medicine and neurology and the interplay between both fields. 

What do you find most challenging about your work?
The most challenging part is understanding how an autonomic disorder affects each individual and also understanding how this disorder affects their emotional health too. It’s about harnessing the whole person to actively manage their condition.

What do you find most rewarding?
Definitely seeing patients improve, when they experience a return to having the “best day in my life that I can possibly have.”  As a doctor, when you see that moment in a patient, you never, never give up.


Breaking Down the Carbohydrate: Good Carbs, Bad Carbs and Everything in Between [Infographic]

Wednesday, November 12, 2014 10:55 AM comments (0)

Don't just cut carbs! They are the primary source of energy for the human body, which means you can't do without them! When it comes to healthy diet that includes carbs, it's important to think in terms of quality over quantity.

The experts at NorthShore University HealthSystem break down the carbohydrate--the good, the bad and the necessary--in our latest infographic. Click on the image below to view our full infographic on the importance of the carbohydrate in your diet.

carb infographic


Sick Days: What Are Hand, Foot and Mouth Disease and Herpangina?

Tuesday, November 11, 2014 12:56 PM comments (0)

hand foot and mouthHand, foot and mouth disease (HFMD) is a typically mild but highly contagious viral infection most common in children under seven years of age. The illness is characterized by mouth or throat pain (due to sores), fever and a rash (typically involving the hands, feet, buttocks, arms and legs). The infection is caused by enteroviruses—most often coxsackie virus A16—which are transmitted from person-to-person by oral contact with stool, saliva, fluid from skin lesions or respiratory fluids via coughs or sneezes. Herpangina, also caused by enteroviruses, is a cluster of symptoms characterized by fever and mouth lesions (but no rash).  These illnesses are particularly common in child-care settings because of the frequency of contact and germ sharing between children and inadequate handwashing—especially after diaper changes or toilet use. The viruses can also be transmitted by contact with contaminated surfaces or objects, like toys.

Outbreaks occur most often in summer and fall but can happen anytime, especially if your child is in daycare. Kenneth Fox, MD, Pediatrician at NorthShore, shares symptoms parents should watch for and outlines ways you can make your child more comfortable while the virus runs its course: 

Symptoms of Hand, Foot and Mouth Disease:

  • Small, painful sores in the throat or mouth, including cheeks, tongue and gums 
  • These lesions cause pain and difficulty swallowing
  • Small blisters or red spots classically located on hands, soles of the feet and between fingers and toes 
  • Fever
  • Decreased energy and appetite
  • Diarrhea and vomiting
  • Respiratory symptoms like congestion, cough and “pink eye” (conjunctivitis)

Symptoms of Herpangina:

  • Fever
  • Painful red sores in mouth/throat (as above)
  • Vomiting
  • Abdominal pain
  • Headache

Fever and mouth/throat pain usually last three to five days. Other symptoms, like mouth sores and rash (with HFMD) can last up to seven to ten days. The virus is shed orally for one to three weeks and in stool for two to three months after infection. While there are no cures for HFMD or herpangina, there are things you can do to make your child more comfortable during those first few days, as well as reduce the risk for dehydration which can occur because of pain and difficulty swallowing. 

What can parents do?

Keep little ones hydrated. Try Pedialyte or Gatorade to keep their electrolytes up. Also popsicles, ice chips and other frozen treats can replenish fluids while also helping with pain. 

Reduce pain or fever. Use Acetaminophen or Ibuprofen but check age-appropriate dosages before administering. 

Make swallowing easier. Eliminate salty, spicy or acidic foods to avoid further irritating mouth sores. Consider providing a variety of soft foods, like yogurt, pudding and rice. And always rinse mouth after meals. 

While it is not always possible to prevent your child from contracting hand, foot and mouth disease, you can reduce his or her risk, and your own. Here are some ways to keep your kids healthy and prevent the spread of HFMD in your home:

  • Wash hands with soap and water for 15-30 seconds and dry with disposable towel after using the toilet, changing diapers; after touching another child, the floor or contaminated surfaces; before eating meals or snacks; after coming in from outdoor play; after sneezing, coughing or wiping nose or eyes 
  • Clean and disinfect contaminated surfaces and toys more than once a day
  • Avoid or prevent close contact like kissing, hugging, sharing utensils or cups 

If your child does get hand, foot and mouth disease, watch for these signs of complications:

  • Dehydration (dry mouth, pale skin and nails, no tears or urine, lethargy)
  • Breathing difficulty
  • Chest pain
  • Stiff neck
  • Mental status changes (inconsolable crying, confusion, poor balance, difficulty walking)

Have questions about hand, foot and mouth disease or any other pediatric illness? NorthShore's new online community, The Parent 'Hood, has answers. Join today to connect with other parents in the community as well as our expert physicans.  Click here to start now

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