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.

By Royal Oak Pediatric Associate
June 20, 2017
Category: Children's Health
Tags: Behavioral Issues  

Behavioral issues can affect your child's ability to make friends and do well at school. Marion, VA, pediatricians Dr. Anita Henley, Dr. behavioral issuesLeesa Lawrence, Dr. Tara Etter discuss several common behavioral health issues.

Attention-deficit/hyperactivity disorder (ADHD)

Hyperactivity isn't always a symptom of the ADHD. If your child has the inattentive form of the disorder, he or she may be easily distracted or have trouble concentrating, but won't exhibit any signs of hyperactivity. Children who have the hyperactive/impulsive form may have difficulty sitting still, waiting their turn or staying silent. Some children have a combination of both forms.

Autism spectrum disorder (ASD)

ASD is a developmental disorder that can make it difficult for your child to interact with other people. Children may be mildly, moderately or severely affected by the disorder. Signs of ASD often appear when your child is young and may include:

  • Trouble making eye contact
  • Language delays
  • Obsession with certain topics or toys
  • Motor skill difficulties
  • Lack of empathy
  • Difficulty making friends
  • Repetitive language
  • Hand flapping
  • Rocking

Oppositional defiant disorder (ODD)

No child likes to be told what to do, but children who have ODD are continually disobedient or defiant. In addition to angry outbursts, signs that your child may have ODD include constant arguing when asked to do something and frequent arguments with adults and other children. Children who have ODD are often irritable and tend to blame others for any problems they encounter.

How a pediatrician can help

If you suspect that your child has a behavioral issue, it's important to schedule an appointment with our Marion office. In addition to performing a thorough examination to rule out health conditions that may cause behavioral changes, your child's pediatrician can recommend therapy or counseling to help you and your family manage your child's disorder. In certain situations, medication may be prescribed.

Are you concerned about a behavioral issue? Call Marion, VA, pediatricians of Royal Oak Pediatric Associates at (276) 783-8183 to schedule an appointment.

By Royal Oak Pediatric Associate
March 06, 2017
Category: Children's Health
Tags: Sports Physical  

When your child needs to try out for a sport in school, it is likely that they school will require a sports physical. This protects the school, sports physicalsbut also your child to ensure that they are capable of this activity safely. Dr. Anita Henley, Dr. Leesa Lawrence, Dr. Tara Etter, or Becky Ewald at Royal Oak Pediatric Associates in Marion, VA, can perform this important medical examination.
About Sports Physicals
This exam clears a child for sports activity. During the physical, your Royal Oak pediatrician takes a close look at your child’s medical history and looks for any new conditions or illnesses that may prevent them from safely participating. Our office also will ensure your child has a full physical asks is up to date on vaccinations. Physicals dine through the school system are unable to provide this as they do not have access to your child's medical history and records.
 A sports physical is important because a school takes on a risk when they allow a child to participate in sports. These exams allow the school, school nurse and coach to be aware of any medical conditions your child has that may affect their performance or put them at risk for injury. Some things evaluated during this exam include (and are not limited to):

  • Height
  • Weight
  • Blood pressure
  • Vision and hearing
  • Joints, muscles, posture, scoliosis
  • Ears, nose and throat
  • Heart and lungs
  • Vaccinations
  • Urine
  • Iron level

Other tests may be required depending on your child’s health and the state you reside. After the physical is complete, your Royal Oak pediatrician will provide you a note confirming whether your child is cleared to safely play sports.
A yearly physical, whether a sports one or not, is important for school-age children, and a Royal Oak pediatrician can perform these important tests to keep your child as healthy as possible. Don’t allow your child to miss out on being a part of a team. Call and schedule an appointment with Royal Oak Pediatric Associates today at (276) 783-8183.

By Royal Oak Pediatric Associate
December 16, 2016
Category: Children's Health
Tags: adhd  

An ADHD diagnosis can be a scary thing to hear for any parent. Luckily, ADHD is a treatable and manageable condition common in adhdschool-aged children. One of the best ways to understand ADHD is to arm yourself with knowledge about what it really is and familiarize yourself with its treatments. Learn more about ADHD with Royal Oak Pediatric Associates in Marion, VA.

What is ADHD? 
ADHD, short for Attention Deficit Hyperactivity Disorder, is most common in children and teens but can continue into the adult years. ADHD causes the sufferer to have trouble focusing, paying attention and sitting still. These behaviors often affect the home and social life and can cause trouble in the classroom as well. 

Does my child have ADHD? 
Diagnosing ADHD in children does not come down to any specific test. Instead, doctors gather information from several sources, including teachers, parents and schools. This is because problems must be present in more then one setting. The American Academy of Pediatrics provides guidelines and clinical practices for diagnosis to help your child’s doctor zero in on the details of the condition. Many times a child will need to have a sleep disorder, learning disability, and a behavioral problem ruled out first.

ADHD Treatment in Marion, VA 
The first line in treating ADHD is cognitive behavioral therapy which helps the child learn to manage their impulses and helps the parents and schools provide an optimal setting for them to learn. If this is unsuccessful, sometimes a doctor will  prescribe medication. These medications are classified as either stimulants or non-stimulants.  Therapy will focus on modifying behaviors and bettering social skills and this has proven effective in treating ADHD. Support groups for parents can be a great source of information and ideas for managing your child’s condition. Since ADHD often affects a child’s learning abilities, special tutors and school programs can help your child stay on track in their education.

For more information on ADHD, please contact Dr. Anita Henley, Becky Ewald, CPNP and Dr. George "Jeff" Jones at Royal Oak Pediatric Associates in Marion, VA. Call (276) 783-8183 to schedule your child’s appointment with their pediatrician today

By Royal Oak Pediatric Associate
September 06, 2016
Category: Children's Health
Tags: Behavioral Health   adhd  

A child’s emotional and behavioral issues are just as important as their physical health.

Certainly kids will be kids; however, when their behavior is affecting school, activities or friendships then it’s time you turned to our behavioral healthMarion, VA pediatricians Dr. Anita Henley and Dr. George Jones for support. Find out more about the behavioral issues you shouldn’t ignore and what we can do.

Does your child…

  • Lose their temper often?
  • Argue with parents, peers or other adults?
  • Blame others for their behavior?
  • Lash out or become angry or vindictive?
  • Disrupt the teacher or classmates?
  • Steal?
  • Defy rules?
  • Lack concentration?

Then you certainly have some behavioral issues on your hands. Fortunately, disruptive behavior disorders are easy for our Marion children’s doctors to identify because of the classic signs of aggression, fighting, tantrums and attention seeking. This group of disorders includes,

  • Oppositional Defiant Disorder (ODD)
  • Conduct Disorders
  • Attention Deficit Hyperactivity Disorder (ADHD)

Of course, children may also be dealing with anxiety, phobias or depression and exhibit some of these same behaviors. When you come in for care we will be able to better assess your little one and determine the root cause of these behaviors.

It’s important to treat your child’s behavioral and emotional issues now so that they don’t affect their social environment or schooling. By nipping it in the bud now you can save your little one from more behavioral troubles in the future.

So, when should you seek treatment?

Most parents don’t want to jump to conclusions and immediately take their child in to see us but you also shouldn’t just struggle through these behavioral issues until you are frustrated and tired. Typically, if these issues are lasting for more than six months without any success then it’s time to seek treatment.

One treatment option that we can recommend includes Cognitive-Behavioral Therapy (CBT), which will help to reduce negative behaviors by teaching your child how to positively interact with family members, authority figures and peers. In some instances, medication may also be needed (as is sometimes the case in children with ADHD).

Royal Oaks Pediatric Associates is here to provide children in the Marion, VA area with the best health care possible. We offer a full range of services so that your child always has the treatments necessary to lead a healthy, happy life.

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