Healthy Teeth for Your Baby and Toddler: When to See the Dentist, How to Prevent Cavities, & Other Dental Issues

Healthy Teeth for Your Baby and Toddler: When to See the Dentist, How to Prevent Cavities, & Other Dental Issues

If you’re the parent of a baby or toddler, you may think you have plenty of time before making her a dental appointment. After all, if she doesn’t have any teeth coming in, what’s the point? But that’s not necessarily the case. In fact, it’s never too early to get a good start on healthy teeth.

How Soon Should My Baby or Toddler See the Dentist?

As a pediatric dentist, I recommend getting kids in for their first dental checkup before their first birthday. This way we can make sure we’re preventing cavities before they occur. And for the teeth that are already in, we get a chance to see what the enamel looks like. At this age we also can determine if there is a higher risk of your child getting cavities. If we see issues that could lead to cavities we will visit with you about your child’s diet and oral hygiene, because these are important for developing healthy teeth.

And once children begin going to the dentist, I urge parents to bring them in every six months. If we identify that a child has cavities starting to form, we can catch them early.

 

Ways You Can Help Prevent Cavities and Other Dental Issues for Your Infant or Toddler

Diet

  • Reduce or eliminate sugar from their diet. You might be surprised to learn that some things that seem healthy really aren’t, because they contain a lot of sugar. This is especially true with juice and chocolate milk. My recommendation is not to give kids juice. If I give my little three year-old a small glass of juice, she’ll drink it and want more before you know it! It’s too much sugar.
  • Get them started on water. It’s a healthy habit for all of us. Having your child drink water at an early age builds healthy habits for life, plus it helps their body function properly.
  • Mind the temptations. Once kids move to solid foods, temptations are everywhere. Whether it’s coming from grandparents or parents, we like to spoil our kids. So it’s tough to want to spoil them, but then also be mindful of the sugar they’re taking in. I urge parents to be mindful of candy, cookies and chips – all of the processed treats. That includes gummies and fruit roll ups! They sounds healthy, but I call them the ‘dreaded fruit snacks’ because they create a lot of cavities. As a parent, I get it. They’re easy. But please, try to avoid purchasing those fruit snacks!

Dental Hygiene

  • Brush those teeth twice a day as soon as they come through the gum tissue, using a soft toothbrush. Your child’s age doesn’t matter. Once they get teeth, we’ve got to take care of them.
  • When you brush your child’s teeth, just gently massage the teeth. At this point you’re getting rid of plaque and keeping everything clean and healthy.
  • Use a very small amount of fluoride toothpaste. For your infant, who is not able to spit out the toothpaste, just a tiny bit of fluoride toothpaste, the amount of a grain of rice, is plenty. This is enough to help prevent decay.
  • Use whichever flavor your child likes or will tolerate. My daughter says our mint toothpaste is too spicy! She likes the fruity flavored toothpastes and those are just fine.

 

A Word About Pacifiers and Thumb Sucking

Parents often ask me about these behaviors and how they affect dental development. The question I get most often from parents is: Will this cause their teeth to grow in out of line? Unfortunately, it can. When a thumb or pacifier is in your child’s mouth, it pushes on structures in the mouth, whether it’s the teeth or bone structures, and moves them. Timely intervention is really important here.

  • Pacifier – Try to wean your child from this early on. At around a year or 18 months old, I like children to be done with the pacifier. It could be molding the upper arch and changing the shape of your child’s palate.
  • Thumb Sucking – The longer your child sucks his thumb or fingers, the higher the risk of changing the shape of his arch or palate. I recommend parents work on this habit and get it conquered by age three.

Start Early for Your Child’s Good Dental Health and Habits

I hope these tips are helpful for you. Taking your kids to the dentist early on gives them a good start on great dental health and habits, and helps get them comfortable with the environment of a dentist’s office. This also helps them have great dental experiences when they come to their dental home.

Want more dental care tips for your infant or toddler?

Get even more information from our ten minute podcast!

Marty Killeen, DDS

Marty Killeen, DDS

Marty is a pediatric dentist with Wilderness Station Pediatric Dentistry.

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8 Ways You Can Prevent & Manage Diabetes

8 Ways You Can Prevent & Manage Diabetes

Diabetes is a silent disease affecting the lives of millions each year. Chances are you know someone with diabetes—a friend, family member or maybe even you. I am one of the millions living with diabetes. As a certified diabetes educator, I work to educate myself and others about how to prevent diabetes from impacting your life and how you can take care of yourself and improve your health if you have diabetes.

What Is Diabetes?

Diabetes happens when your body does not properly use the sugar in your body. The different types of diabetes are related to the reasons the body is not using the sugar. This excess sugar causes clogs in the blood stream, leading to complications.

Type 2 diabetes is the most common. With type 2 diabetes, the body either doesn’t produce enough insulin, or it resists insulin. Insulin helps keep your blood sugar level from getting too high.

Symptoms of Type 2 Diabetes

  • Increased thirst
  • Frequent urination
  • Hunger
  • Fatigue
  • Blurred vision

However, in some cases, there may be no symptoms.

Risk Factors for Developing Type 2 Diabetes

  • Having prediabetes
  • Being overweight
  • Being 45 years or older
  • Having a parent, brother or sister with type 2 diabetes
  • Being physically active less than three times a week
  • Previous gestational diabetes (diabetes during pregnancy) or given birth to a baby who weighed more than nine pounds
  • Being African-American, Hispanic/Latino-American, American Indian or Alaska Native (some Pacific Islanders and Asian Americans are also at higher risk)

How Do I Manage Diabetes?

We must help our bodies use the sugar. When I think about how best to care for diabetes I think about BALANCE. It’s all about eating healthier, exercising more and taking better care of ourselves.

Balance in diabetes can mean a lot of things – both in terms of preventing diabetes and taking care of yourself if you have diabetes. We all know if we don’t care for ourselves, then we can’t care for others. Here are eight areas that I focus on and share with others to take care of yourself.

1. Eat Mindfully

  • Don’t eat in front of the TV
  • Take small bites
  • Taste your food
  • Add protein and fiber to feel full

2. Take Time to Exercise & Be Active

  • Park farther away
  • Stand during commercials
  • At a minimum, commit to five minutes of exercise
it’s better than zero

3. Be Consistent When Taking Medicine

  • Place your medicine where you will see it
  • Use an alarm to remind yourself when to take your medicine
  • Mark your calendar so you know you took your medicine
  • Follow your doctor’s advice

4. Find Ways to Decrease Stress

  • Take ten deep breaths
  • Get five minutes of quiet—put yourself in timeout if you have to! (your kids will find this intriguing)

5. Add Vegetables so Meals Aren’t Meat or Carbohydrate-Heavy

  • Add lots of color
  • Make a meal plan
  • Don’t fight it
just get creative!

6. Find Ways to Keep Your Whole Family Active

  • Go swimming together
  • Go to the zoo
  • Take the kids shopping
  • Use active video games like Wii or YouTube

7. Find Ways to Eat at Home, Even When You Don’t Want to Cook

  • Cook freezer or microwaveable meals
  • Cook in the crockpot
  • Plan ahead and prepare the day or weekend before

8. Eat More Fruits & Vegetables

  • Look for sales (canned and frozen often are on sale)
  • Take vegetables from neighbors or coworkers who grow them
  • Grow your own garden
  • Buy what’s in season

Taking a Goal & Making It SMART

Much of what I do in my job is help people figure out how to achieve their goals. For instance, I would love to lose ten pounds. How can I do that? I can exercise more and eat less. However, these plans are vague. When making goals, we have to make the goal SMART.

S – Specific: I will increase my exercise by five minutes each day.
M – Measurable: I will exercise an extra 25 minutes per week.
A – Achievable: I can add five extra minutes of exercise per day while watching TV.
R – Realistic: I can add five minutes in the evening and increase my exercise. I don’t have time to increase my exercise by 30 minutes a day, but I can add five minutes a day.
T – Time-bound: I will increase my exercise and reevaluate by the end of the month. If no improvement is seen, I will change my goal strategy.

Get the Help You Need to Prevent or Manage Diabetes

Bryan offers several physician clinics that provide comprehensive diabetes care for patients. At these clinics, patients receive coordinated care important to diabetes management that includes their provider as well as certified diabetes educators, registered dietitians, social workers, care navigators and pharmacists.

Additionally, the Bryan Diabetes Center offers many special programs, as well as individual consultations, to help you focus on areas such as nutrition, exercise, lifestyle changes, carbohydrate counting, medications, insulin pump use and more.

Ask your provider for a referral to Bryan Diabetes Center today! We have four locations:

We’re here to help you manage your diabetes or get on track to prevent getting diabetes in the future.

Bryan Health Diabetes Center

Learn more about how diabetes impacts your life, get management tips, and easily schedule an appointment to speak with a diabetes expert at Bryan Health today!

Samantha Beckler

Samantha Beckler

Health Expert

Samantha Beckler is a Certified Diabetes Educator with Bryan Diabetes Center.

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Plastic Surgery after Babies
Yay or Nay?

Plastic Surgery after Babies
Yay or Nay?

Saggy breasts, excess skin and my favorite, the love pouch. Like most women, my body changed after having kids. It wasn’t until I knew I was done having babies that I considered plastic surgery.

Mothers, by nature, are givers. We take care of our children, our husbands, our coworkers, other family members and friends
all before we think of ourselves. It’s rare for a mom to schedule time or activities just for herself, without feeling some degree of guilt that she’s taking time away from her family or work.

My body image is directly related to my self-esteem and how I view myself. When I feel fit, healthy and sexy, everyone benefits. My family sees a happy, confident, energetic mother who serves as a great role model.

Finding Pride in a Mother’s Body

I am proud of this body. It made two beautiful children. This is the body God gave me and I’m grateful. I’ve put in the work, I’ve lost over 40 pounds in the last year and a half, and I continue to workout and eat healthy almost every day. I’m full of energy and overall happier with my transformation. Yet, the excess skin is still there, and I’m self-conscious of my mid-section and my nonexistent boobs. I want to look as good as I feel. My children see me push through every workout. They see me say no to desserts (most of the time). Now, I want them to see my happiness. I want to see my gains in the mirror but all I see is a big stomach.

It is NOT selfish or vain for a woman to want to look good! A mother deserves to look as fit, youthful and toned as she can. Who wouldn’t want to look their very best physical self?

How a mother feels about herself as a wife and a woman is integral to her body image and self-esteem. When we look our best, we feel more secure and reflect that to others, exuding confidence, happiness and overall attractiveness. When a mother feels confident about her body, she is happier overall, her marriage benefits and so does her relationship with her children.

The Pros and Cons of Having Plastic Surgery

I know the pros and cons of having plastic surgery but the struggle I can’t seem to come to terms with is: how can I explain to my daughter that you should love yourself the way you are and that the way you look on the outside doesn’t matter, then turn around and get plastic surgery to fix something about me? However, she sees me struggle and my want for something I can’t seem to obtain on my own. Should that be enough justification? Does it make me a bad mom to say one thing and do another?

For a mom to want to take care of herself and feel youthful, feminine and attractive is NOT self-centered or unreasonable.

Having a surgical procedure is a BIG DEAL. Surgery should not be taken lightly, and planning for recovery time and help with child care, driving and the usual activities of daily living after plastic surgery is extremely important.

As long as you can afford the time needed for surgical recovery, have help in caring for your children and understand fully the risks of surgery, I can completely understand why a mom would consider going under the knife! However, knowing that you should love your body and yourself is the main priority. If you’re happy with yourself but want to enhance or better your body, then there’s no problem with considering plastic surgery.

Schedule Your Free Consultation

Did you know Dr. Cassidy Mitchell, plastic and reconstructive surgeon, offers free consultations to answer your questions and help you decide if plastic surgery is right for you.

Mallory Connelly

Mallory Connelly

Babies & Toddlers

In addition to the time I devote to being a mom, I also work full-time outside the home, which means my day is hardly ever as simple as nine to five. With an all-too-established schedule, as soon as I walk through the door, my day doesn’t end, but rather just begins. It’s a balancing act, especially with two children, but being a mom is one full-time job that I never want to quit!

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Foods & Exercises to Reduce Your Arthritis Pain

Foods & Exercises to Reduce Your Arthritis Pain

The pain and discomfort of arthritis can have a big effect on your quality of life. A good exercise program and a healthy diet have been shown to increase your mobility (ability to get around) and provide medication-free pain relief.

3 Areas of Focus to Reduce Your Arthritis Pain

As a nurse practitioner, I believe knowledge is power. Here are three items I share with my patients to improve their daily life with arthritis:

  • Foods to avoid because they can increase inflammation and arthritis symptoms
  • Foods that can decrease some of your arthritis pains
  • Exercises you can do without causing stress and pressure on your joints


Foods to Avoid if You Have Arthritis

There are certain types of foods that are considered pro-inflammatory, meaning they can increase inflammation. In general, more inflammation equals more pain, specifically in your joints.

Limit the following in your diet to avoid inflammation:

  • Sugar
  • Saturated fats
  • Trans fats
  • Refined carbohydrates
  • MSG
  • Aspartame
  • Alcohol

Foods high in sodium also have been found to increase inflammation, so it’s important that you try to limit these types of foods in your diet.

Most people in America tend to have diets that are high in saturated fats and trans fats. A good step is to look at food labels and make sure these are limited, if not completely eliminated from your diet.

In general, try to avoid the inner aisles of the grocery store. Most foods in this area contain refined carbohydrates and things we need to avoid because they increase inflammation. Plus, this is where you’re more likely to find processed foods. For the most part, if you can’t pronounce the ingredient on the label, it’s probably not a good choice.

Foods and Supplements that Help Arthritis Pain

Many foods are considered to be anti-inflammatory. Lowering inflammation can decrease arthritis pain.

Include these foods in your diet to help fight inflammation:

  • Omega 3s, such as fish like salmon, dark leafy greens, olive oil and nuts
  • Cherries 
  • Green tea
  • Whole grains
  • Citrus fruits like pineapple and oranges
  • High fiber foods

Glucosamine and chondroitin supplements

Our general rule with supplements like glucosamine and chondroitin is to give it a try for about three months. If you do not notice a difference in your joints and your joint pain, stop taking it. Many times people find that after they stop taking it, they notice it really was working and making a difference. I have several patients that absolutely swear by glucosamine and chondroitin.

Exercises to Ease Joint and Arthritis Pain

Low impact exercises that don’t put a lot of pressure on your knees and ankles are good options if you have arthritis.

Low impact exercises include:

  • Swimming – try lifting weights in the water for an added workout
  • Machines like a NuStep, where you’re moving back and forth and not putting weight on your knees
  • Gentle walking
  • Weight lifting with the guide of a trainer who can show you ways to lift weights and still protect your joints
  • Yoga and Tai Chi

Take Steps to Control Your Arthritis Pain and Feel Better

By reducing inflammation, you’ll have more energy to get out and walk, stretch and do other activities. If you need a bit of direction, working with a personal trainer or a nutritionist is a wonderful option.

Knowledge is power. The more you know about your disease process, proper nutrition and exercise, the better prepared you’ll be to take steps toward feeling better and living a more active, less painful life.

Want More Information on the Ways to Manage Arthritis?

Jaimie Russell

Jaimie Russell

APRN-NP

Jaimie Russell, APRN-NP, is a nurse practitioner with the Arthritis Center of Nebraska

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Advice about Eating Fish: What Pregnant Women and Parents Should Know

Advice about Eating Fish: What Pregnant Women and Parents Should Know

Can you eat too much Salmon or Tilapia?

A healthy diet during pregnancy is important for the proper growth and development of your baby. As a specialist in Maternal-Fetal Medicine, I am often asked about eating fish during pregnancy. 

  • How much fish can I eat?
  • Can I eat sushi?
  • Are there “good” and “bad” fish to eat during pregnancy?
  • Is fish good for my baby’s brain development?
  • What about mercury? That’s bad, right?

Luckily, there are some clear guidelines about eating fish for pregnant women, infants and children, and people in all stages of life!

How does eating fish affect my baby’s health and brain development during pregnancy?

  • Fish, including finfish and shellfish, is low in saturated fat, high in protein and healthy to eat during pregnancy. It is also the primary dietary source for two n-3 (also called omega-3) long-chain polyunsaturated fatty acids.
  • For your baby’s optimal eye and brain development, moms need to include foods with omega-3 fatty acids in their diet.
  • Omega-3 fatty acids are especially important for moms during the last trimester of pregnancy and while breastfeeding as this is when your baby’s brain is rapidly developing.
  • Omega-3 fatty acids are also available as supplements and in fortified foods such as milk, yogurt, bread and even chocolate. You’ll just need to read the nutrition label to find out if the food includes omega-3 fatty acids. This can be an alternative source of omega-3 fatty acids for women who cannot or choose not to consume fish.

What about mercury?

  • While mercury is present in all fish, the levels vary depending on the type of fish.
  • One to three servings per week of a variety of seafood high in omega-3 fatty acids and low in mercury are recommended by the United States Food & Drug Administration and Environmental Protection Agency.
  • Mercury, also called methylmercury, is toxic to your baby’s developing brain. For this reason, it is important to avoid eating fish high in mercury. It cannot be ‘cooked out’ of the fish, and over 95 percent of it is absorbed. You want to gain the benefits of omega-3 fatty acids that fish provide while limiting the negative side effects of mercury.
  • Avoid eating fish high in mercury such as: king mackerel, marlin, orange roughy, shark, swordfish, tilefish (Gulf of Mexico), tuna and bigeye.

Can I eat fish caught at a lake, river or coastal area?

  • Fishing is a popular pastime for many Nebraskans.
  • Check for advisories about the safety of eating fish caught in areas where you plan to fish. This can usually be found on websites or through a Google search.
  • If no advice is available, the United States Food & Drug Administration recommends limiting the amount of fish you eat caught in these areas to six ounces (one average meal) per week and not eating any other fish during that week.

What about sushi?

If you’re pregnant, you should only eat cooked fish. And if you love sushi, don’t worry! There are many sushi options that use cooked fish. You can usually find these options on the menu or you can ask your server.

Which fish are good for me, my baby and family?

To answer the question in this blog title, Salmon and Tilapia are in the Best Choice category, and two-three servings per week is recommended.

The following table sums it up nicely!

Advice for eating fish.

Follow this link for more advice regarding eating fish from the FDA.

What is a Maternal-Fetal Medicine doctor?

Benjamin Byers, DO

Benjamin Byers, DO

Maternal-Fetal Medicine Specialist

Dr. Byers is a Maternal-Fetal Medicine specialist with the Center for Maternal & Fetal Care, part of the Bryan Physician Network.

He has been in practice in Lincoln since 2014. Before this, he was a doctor in the US Army for 13 years, achieving the rank of lieutenant colonel. Although native to Iowa, he is an avid Cornhusker fan!

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The #1 Deadly Condition Treated in the Hospital May Surprise You

The #1 Deadly Condition Treated in the Hospital May Surprise You

It’s unknown to most people but serious and life threatening.

Being an ICU nurse, I have seen it all. I’ve seen young children come in struggling to breathe due to an asthma attack. I’ve seen elderly people come in after having CPR to restart their heart. I’ve helped bring people back to life. But, the thing that I have seen most in the hospital might surprise you. When you think of what the number one cause of death in the United States would be, what comes to mind? Cancer? Heart disease? While those are prevalent throughout the United States, it might surprise you to know that sepsis is the leading cause of death in United States hospitals.

So, What in the World is Sepsis?

With September being Sepsis Awareness Month, I feel it is important for you to know what sepsis is and how to prevent/detect sepsis in yourself or your loved ones. So, what in the world is sepsis? In general, it is the body’s overwhelming response to an infection that can lead to tissue damage, organ failure, amputations, and even death.

You may have never even heard of sepsis. Most people haven’t. Yet, it is the number one killer with people coming to the ER when they are already in organ failure. Like a heart attack or stroke, time is of the essence when treating sepsis. This is necessary to protect your organs from going into failure.

Do You Know the Warning Signs and Importance of Immediate Treatment?

Here are some facts that may surprise you:

  • Less than 1% of the population can name the signs and symptoms of sepsis
  • Death from sepsis increases by as much as 8% for every hour that treatment is delayed
  • Most cases of sepsis begin at home (up to 87% of sepsis cases) and not in the hospital
  • As many as 80% of sepsis deaths could be prevented with rapid diagnosis and treatment

Most people either don’t know about sepsis or they assume it only happens to a vulnerable population. The truth is, sepsis knows no age discrimination, it doesn’t affect men more than women, and it doesn’t affect the older generation more than young children.

What are the Warning Signs?

Sepsis can start with something as simple as a small cut or a toothache that can develop into an infection. Now, not every cut or toothache develops into sepsis, but it is important to know what to look for as a possible indication of sepsis. So you may be asking, what are the signs and symptoms?

Think SEPSIS

S – Shivering, fever, or very cold

E – Extreme pain or general discomfort (“worst ever”)

P – Pale or discolored skin

S – Sleepy, difficult to rouse, confused

I – “I feel like I might die”

S – Shortness of breath

Take ACTION

If you see a combination of these symptoms and suspect sepsis, see a medical professional IMMEDIATELY.  The sooner treatment gets started, the better chance you or your loved one has at surviving and making a full recovery.

When caught early, immediate administration of IV antibiotics and fluids can be all you need to make a full recovery. However, if organ failure has already started by the time someone comes to the hospital, they may need to come see me in the ICU. You may need medications to raise your blood pressure or have a breathing tube hooked up to a ventilator to help provide the oxygen you need. The longer someone delays getting treatment for sepsis, the greater the likelihood that the person will have severe complications such as kidney failure requiring dialysis or problems taking care of themselves (such as walking by yourself, bathing, brushing your teeth, etc.). It can even lead to death.

Be Informed, Tell Others – Let’s Raise Awareness and Save Lives

As a nurse, I have made it my job to tell all my friends and loved ones about the signs and symptoms of sepsis, and ways to prevent it.

Prevention starts with something as simple as washing your hands and cleaning any cut/injury. A lot of people don’t realize that bacteria naturally lives on your skin and given the right circumstances can grow into an infection from something as little as a cut or burn.

I urge you to tell everyone you know about the signs and symptoms as well as the ways to prevent sepsis. With your help, we can increase awareness of sepsis so people will seek treatment sooner, and lives will be saved.

Learn More About Sepsis

To learn more about Sepsis, listen to our latest Bryan Health podcast. Bill Johnson, MD, Nebraska Pulmonary Specialties shares how you can spot this condition, and emphasizes how early diagnosis and treatment can be lifesaving.

Paige Fellers

Paige Fellers

RN, ICU

Paige Fellers is a registered nurse in the ICU at Bryan Health.

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5 Tips for Managing Stress & Staying Healthy

5 Tips for Managing Stress & Staying Healthy

Some days it can seem impossible to juggle work and life while trying to stay healthy at the same time. Between working, caring for your children, assisting aging parents, making time for exercise and eating healthy, there just doesn’t seem to be enough hours in the day. Read More

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I Feel Fine, But Could I Be at Risk for Heart Disease?

I Feel Fine, But Could I Be at Risk for Heart Disease?

Blood pressure, diabetes and family history are a few well-known risk factors for heart disease, but some little-known risk factors can also threaten your heart. The scary part is you may not even be aware of them. Read More

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Mommy Me Time

Mommy Me Time

We all have our mommy to-do lists. After dropping off the kids, working a full day with deadlines that never end, picking up the kids, making dinner, doing homework, giving baths, reading stories before bed and doing housework, I am too tired to do anything for me. I just put on my pjs and go to sleep. I know that tomorrow will be the same as today. That’s why I realized that taking time for myself is necessary. Read More

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Preventing & Managing Diabetes

Preventing & Managing Diabetes

Diabetes is a silent disease affecting the lives of millions each year. Chances are you know someone with diabetes—a friend, family member or maybe even you. I am one of the millions living with diabetes. As a certified diabetes educator, I work to educate myself and others about how to prevent diabetes from impacting your life and how you can take care of yourself to improve your health if you have diabetes. Read More

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5 Crucial Numbers Every Woman Needs to Know

5 Crucial Numbers Every Woman Needs to Know

Did you know that over 44 million women in the United States have heart disease? While some experience noticeable symptoms, many do not. As a woman and vascular surgeon, keeping myself and other women aware and knowledgeable about their heart is important to me. When it comes to your health, there are five crucial numbers to know about your heart. Read More

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Is My Child a Picky Eater or Problem Feeder?

Is My Child a Picky Eater or Problem Feeder?

Chicken nuggets, corn dogs, french fries, grilled cheese
repeat, repeat, repeat! Sound like a familiar menu in your household? Kids tend to gravitate toward processed, bland foods because these foods are predictable and easy to eat. Read More

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