By Royal Oak Pediatric Associate
September 07, 2018

Child Sports PhysicalTeam sports are a great way for school aged children to maintain a healthy weight, socialize and make new friends, engage in healthy competition, achieve personal and team goals, and learn valuable skills and life lessons. But just like any activity that requires physical exertion and carries an inherent risk of even minor injuries, most schools and athletic programs will require that every child is healthy enough and able to participate before getting started. The pediatricians at Royal Oak Pediatric Associates Dr. Anita Henley, Dr. Tara Etter, and Dr. Leesa Lawrence offer school and sports physicals in Marion, VA, to help get your kids ready to play.

School and Sports Physicals in Marion, VA

Even if your child is in good health and has already undergone a standard check up or wellness check with their pediatrician, schools and athletic programs require comprehensive sports physicals to make sure that your child will be able to meet the physical demands of the program, and to minimize liability for potential injuries and accidents.

A sports physical typically covers the basics like checking vision, weight and height, basic reflexes, and blood pressure. Depending on the type of activity, they may also check for joint function and muscle strength and flexibility. If your child suffers from a health condition like asthma, diabetes, or is obese/overweight, getting a sports physical and following specific medical guidelines will be especially important (however underlying health conditions are not necessarily a deterrent to joining a sports team and getting necessary physical activity).

After the evaluation is complete and the pediatrician determines that it is safe for your child to participate, they will fill out the required forms or provide documentation to present to the school to get started.

Find a Pediatrician in Marion, VA

For more information about school and sports physicals and getting your child cleared to participate in a sport or physical activity, contact Royal Oak Pediatric Associates by calling (276) 783-8183 to schedule an appointment with one of our pediatricians today.

By Royal Oak Pediatric Associate
June 27, 2018
Category: Children's Health

Does your child need a behavioral consultation? A behavioral consultation is an effective way to help parents address behaviors that behavioral consultationdisrupt family routines. The consultation involves identifying problem behaviors and implementing treatment. Dr. Anita Henley, Dr. Tara Etter, and Dr. Leesa Lawrence at Royal Oak Pediatric Associates in Marion, VA, offers behavioral consultations to children of all ages. Here are some reasons why kids should have a behavioral consultation.

1. Taking risks without thinking- Some children have a hard time controlling their actions. Sometimes, they take risks without thinking. Teenagers take more risks than any other age groups. This risk-taking includes binge drinking, dangerous driving, drug use, and risky sexual behavior. People often believe that teenagers engage in risky behaviors because they're not very good at evaluating risk. A behavioral consultation will allow you and your child's doctor to create a plan to manage negative behaviors.

2. Difficulty managing impulses– Impulsivity is defined as "actions without foresight.” Impulsive children often do things like blurt things out, don’t wait their turn, take unnecessary risks, and interrupt conversations. Impulse control develops slowly over time. Kids who become aggressive after they begin school or children who yell at their teacher need help developing better skills. If your child exhibits impulsive behavior, a behavioral consultation will reduce impulsivity.

3. Difficulty controlling emotions- It's normal for preschoolers to have occasional emotional outbursts. Daily emotional outbursts are a sign of a behavior problem. Older kids should be able to cope with negative feelings in a socially appropriate manner. If your child's anger is out of control and affecting how they interact with their friends and family, they need professional help. A behavioral consultation in Marion is a way to get help for your child.

4. Behavior that interferes with school– Misbehavior that interferes with your child's education may be a sign of a behavior disorder. Difficulty staying on task, getting into fights, and getting sent out of class are all potential warning signs. You know that you have to step in when your child hits a playmate, but you should not disregard more subtle aggressive acts, like pinching a friend or shoving his brother. If you don't intervene, your child's behavior can become an entrenched habit. Plus, it sends a message that hurting people is acceptable.

5. Problems related to social interaction- It's normal for children to have spats with peers, but if your child's behaviors prevent her or him from having friends, that's a problem. Kids should be able to develop and maintain healthy relationships with their peers. In general, a child's behaviors are deemed to be normal if they are socially, developmentally, and culturally appropriate. A few tantrums, yelling, and arguments once in a while are normal. But if these behaviors occur on a regular basis, then they are a cause for concern.

If your child needs a behavioral consultation, why wait? We can help you today! Call Royal Oak Pediatric Associates at 276-783-8183 today to schedule your child's appointment in Marion, VA. Our pediatricians are trained to help children and teenagers with behavioral or mood problems. We can help you identify troubling behaviors and address them before they escalate to something more serious.

By Royal Oak Pediatric Associate
April 09, 2018
Category: Children's Health
Tags: newborn care  

Caring for a newborn is often simultaneously rewarding and overwhelming. Marion, VA, pediatricians Dr. Anita Henley, Dr. Leesa newborn careLawrence, and Dr. Tara Etter share a few newborn care tips that new parents may find helpful.

Try swaddling

Many, but not all, babies enjoy being swaddled. Swaddling increases your baby's sense of security and may even prevent startling, a common phenomenon that can wake your son or daughter from a sound sleep. Make sure your infant has plenty of room to bend his or her legs when swaddled, and discontinue swaddling if it seems to upset your baby rather than calm him or her. The American Academy of Pediatrics recommends that parents stop swaddling babies at two months of age.

Make hand washing a priority

Newborns can easily catch colds and illnesses because they haven't yet developed immunities or haven't received the full schedule of vaccinations. Wash your hands before you handle your baby, and ask visitors to do the same. Although family and friends will be understandably excited about seeing your new baby, ask them to stay home if they're ill.

Keep up with newborn visits

Newborns need to see the pediatrician much more often than older children. Your baby's first appointment in our Marion office should occur just a few days after you return home. Follow up visits during the first year are usually scheduled at two weeks, one month, two months, four months, six months, nine months and one year. During those visits, we'll make sure that your child is receiving adequate nutrition and that there are no feeding issues. Growth and development are also charted, and vaccinations are provided to protect your child from a range of diseases. The visits offer an opportunity to share your concerns with the pediatrician and receive support and encouragement.

Are you looking for a newborn care provider for your baby? Call Marion, VA, pediatricians Dr. Anita Henley, Dr. Leesa Lawrence, and Dr. Tara Etter at (276) 783-8183 to schedule your child's first appointment.

By Royal Oak Pediatric Associate
January 02, 2018
Category: Children's Health
Tags: adhd  

ADHD is becoming a fairly common condition in young children and adolescents. According to the Centers for Disease Control and adhdPrevention (CDC), over six million children between the ages of 4 to 17 have been diagnosed, and the rates continue to rise. Treatment for ADHD varies from child to child, but a combination of therapy and medication is commonly used to help manage the condition. If your child is exhibiting symptoms of ADHD or having behavioral problems at home or at school, the first step is to schedule an appointment with a pediatrician for an evaluation. The pediatricians at Royal Oak Pediatric Associates in Marion, VA, Dr. Anita Henley, Dr. Leesa Lawrence, and Dr. Tara Etter recommend that you have your child evaluated as soon as possible in order to get an accurate diagnosis and appropriate treatment.

Pediatric Behavioral Health Services in Marion, VA

There are many misconceptions and myths about ADHD (Attention-Deficit/Hyperactivity Disorder) and other childhood behavioral health issues. For example, many people assume that all children with ADHD are also hyperactive, but that is not always the case. According to the CDC, there are a few categories of ADHD with specific symptoms:

Hyperactivity/Impulsivity

  • Fidgety, inability to sit still for long periods of time
  • Frequently interrupts conversations, or appears unable to "wait their turn" in conversations or games, etc.
  • Difficulty remaining quiet
  • Constant movement or physical activity like running or jumping at inappropriate moments

Inattention

  • Easily distracted and forgetful
  • Difficulty paying attention and following through on tasks like schoolwork or chores
  • Appears not to listen
  • Easily loses focus and fails to complete tasks, or makes careless mistakes

The CDC recommends regularly monitoring your child's symptoms and behavior, and to schedule an appointment with a pediatrician if they persist for six months or longer.

Find a Pediatrician in Marion, VA

For more information about treatment options for ADHD and other childhood behavioral health issues, contact Royal Oak Pediatric Associates by calling 276-783-8183 to schedule an appointment with a pediatrician today.

By Royal Oak Pediatric Associate
August 28, 2017
Tags: Well Child Visits  

Well-child visits play an important role in the health of your children. Marion, VA, pediatricians Dr. Anita Henley, Dr. Leesa Lawrence, Dr.Well Child Visits Tara Etter, and Becky Ewald, certified pediatric nurse practitioner, explain how your kids can benefit from the visits.

Hearing and vision problems are detected

Signs of hearing and visions problems can be very subtle in young children. For example, your child may not be ignoring you when he or she doesn't follow your instructions, but might not be able to hear you clearly. Vision loss can often be mistaken for coordination or balance problems or even learning disorders. If vision and hearing issues aren't diagnosed and treated early, school performance can be affected, as can your child's abilities to excel at games or sports.

Hearing and vision screenings conducted as part of well child visits will ensure that any issues that your child has will be promptly diagnosed and treated.

Visits ensure children are up-to-date on immunizations

Is your child up-to-date on his or her immunizations? Immunizations prevent your son or daughter from developing a range of common childhood illnesses and diseases, including:

  • Chicken pox
  • Mumps
  • Measles
  • Meningitis
  • Diptheria, tetanus, and pertussis
  • Human papilloma virus
  • Hepatitis A and B
  • Polio
  • Rotavirus
  • Pneumococcal disease
  • Haemophilus influenza type B

Vaccinations protect your child from developing the diseases, but also prevent the spread of the illnesses to children who are too young to receive immunizations or children who can't receive the vaccines due to health conditions.

Well child visits track development and growth

When your child receives regular well-child exams in our Marion office, we can track their growth and development from visit to visit and note any issues of concern. Early intervention is the key to ensuring that your child doesn't suffer lasting effects from developmental delays. Visits also provide the opportunity for you to discuss any questions you may have about your child's development, behavior or health conditions.

Protect your child's health with regular well-visits. Call Marion, VA, pediatricians Dr. Anita Henley, Dr. Leesa Lawrence, Dr. Tara Etter, and Becky Ewald, CPNP at (276) 783-8183 to schedule an appointment.





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