December, 2018
News From Cornerstone Pediatrics
Here's a free webinar you may be interested in since we're in cold and flu season:  10 Tips for Treating Colds and Flu at Home , hosted by Jennifer Shu, MD, FAAP. The webinar will take place on December 6, 2018 at 1 pm Central Time. Attendees will learn how to make use of many home remedies to help kids feel better when they are sick, when to call the pediatrician, as well as steps to take to help prevent illness.
A Reminder About Infant Sleep Safety
ADHD and Driving
Learning to drive and getting a driver's license are exciting milestones for teens. However, having a new driver in the family can be worrisome, especially for parents of teens with  attention-deficit/hyperactivity disorder (ADHD) .
Motor vehicle crashes are the leading cause of death for U.S. teens. The American Academy of Pediatrics (AAP) encourages parents to talk to new drivers about possible risks of impulsive, distracted, and unfocused driving. 
The risk of a crash is 36% higher for teens drivers with ADHD than their peers, no matter their gender, age or driving experience.

Medication  can help teens control ADHD symptoms. However, the benefit of medication on teen driving is uncertain. Many factors affect whether ADHD medication might help. These include the time of day, how long ago the teen took medicine and how well it treats symptoms. For example, drivers are more at risk of a crash in the late afternoon and evening. This is also when a teen's ADHD medication might have worn off.
What Can Help Teens with ADHD? 
Teens with ADHD might need extra behind-the-wheel training, a longer supervised driving period and medication adjustments. The AAP encourages parents to talk with their pediatrician about these matters before the teen gets his or her license.

What You Need to Know About AFM

As of November 2018, federal health officials have confirmed over 100 cases of acute flaccid myelitis (AFM) in the United States―a very rare but serious illness that can cause sudden polio-like symptoms such as weak muscles and paralysis. Most of these cases have been in children around 4 years old.
The spike in the number of 2018 cases of AFM is similar to those in 2016 and 2014. However, the Centers for Disease Control and Prevention (CDC) is investigating all suspected cases of AFM. A common thread linking the cases has not been found.
While this sounds frightening, the American Academy of Pediatrics (AAP) reminds parents that AFM is very rare. The chances of a child getting it are less than one in a million.
What parents can do:
The best thing you can do to protect your children from getting sick is to keep up with what you are already doing:
Frequent  handwashing
Staying up to date on routine  childhood  and  adult im-munizations
Keeping household surfaces clean by  sanitizing and disinfecting
Keeping your children home from  child care  or school when they are sick
Wearing  insect repellent  when mosquitos are near 
Talk with your pediatrician if you are concerned about your child's health. Seek immediate medical care if your child has sudden weakness, loss of muscle tone, a droopy face, or difficulty swallowing or speaking.
What causes acute flaccid myelitis (AFM)?
There is a lot still unknown about the causes of AFM, leading many to refer to it as a "mystery illness."
In 2014, there was an rise in AFM cases during an  enterovirus D68  (EV-D68) outbreak. However, not all AFM patients had the enterovirus virus.
Other viruses, environmental toxins and genetic disorders are also potential causes of AFM.
Enteroviruses  and  rhinoviruses  are also among the identified causes in many 2018 AFM cases.