Volume 12, Issue 4
APRIL 2010   

  
   As you may know we now have late hours at our
   Algonquin location. Wednesday and Thursday
   we are open from 12:00 pm - 8:00 pm. Over the
   past couple of weeks, parents have reacted with
   great enthusiasm! Cindy said, "Your extended
   hours are wonderful and will certainly meet the
   needs or our family! Thanks for always being there
   for our kids!" If you'd like later hours to meet your
   schedule, be sure to ask when scheduling visits.

 
  
   Beat the rush! If you need a Kindergarten, 6th 
     Grade, 9th Grade or College physical you can
     make your appointment today as times fill up
     fast over the summer months.
     To schedule a physical
     this April, May or June
     please call our office
     at (847) 398-0400.
     You'll be glad you did!

  

   
   
It has been about a month and already we have received outstanding feedback on our new "in-house"
   pharmacy...APL RxExpress. Here is what Jim from Arlington Heights had to say, "Having an in-house
   pharmacy is a tremendous convenience. Great idea! I can't tell you what a pain it is to leave the doctor's
   office and, with children in tow, drop the prescription and wait for the script to be filled...while killing time
   in Walgreens with a sick child.
The wait is painful enough but is worse

   if an extra special trip is required to go back to the store to pick up later."
   
   We couldn't agree with you more, Jim. Thanks for the kind words.

   With our new service, you will be able to get your prescription filled in the
   exam room during your office visit. In addition, there are a number of over-
   the-counter medications available for purchase at our checkout counter.
 
 
 Discover all the benefits of our new "in-house" service, by visiting our
   website: aplrxexpress.com and be sure to look for our new display cases.
  


 

At APL, no question is too silly and remember the first five-thousand are free.


    
 
    
“Toilet Training”…two of the most feared words in the English language. But
     in fact, it can be an easy and positive learning experience for both child and
     parents. Remember, potty training is a control issue for your child. It’s not a
     control issue of his bowel and bladder. It is a control issue with his parents.
     So relax, it is extremely rare that any child goes to kindergarten in a diaper.

     The right time to start toilet training depends on your child’s physical and
     emotional development, not on their age. Generally, children may show signs
     that they are ready between 24-30 months, but some not until 36 months or
     older. Your child needs to be willing to learn in order for the process to be successful, not fighting you
     or showing signs of fear. If your child strongly resists going on the potty, then it is best to wait awhile. 
     Any of the following signs may mean that your child is ready:

    
•   Stays dry at least 2 hours at a time during the day or is dry after naps
     •   Bowel movements become regular and predictable
     •   Seems uncomfortable with soiled diapers and wants to be changed
     •   Shows certain expressions / postures that indicate he is about to urinate or pass a bowel movement
     •   Asks to wear underpants or use the toilet or potty chair 

     The first step in toilet training is to teach your child the proper vocabulary to describe body parts and
     waste products (eg. pee, poop, potty) and be sure to avoid using negative terms like “dirty” or “stinky”
     as this can make your child feel ashamed. Also change your child’s diapers frequently so he will prefer
     feeling dry and encourage him to come to you whenever he is soiled. Demonstrate to your child how
     the “pee or poop” goes into a special place by dumping poop from the diapers into the toilet or potty
     chair. If you decide to use a potty chair, consider taking your child with you to pick one out and allow
     him to decorate it with stickers or paint. If you choose to train with the toilet, consider purchasing the
     potty chair inserts with handles to allow a more comfortable fit, and also have a step stool close by so
     that his feet can rest on a surface to allow for pushing and a sense of security.

     Next it’s time to start practice runs to the potty. If you use a portable potty chair, initially keep it in the
     room your child usually plays in to allow easy access. When your child seems to need to urinate or
     pass a bowel movement, take him to the potty and allow him to stay seated for only a few minutes.
     You can also make potty trips a routine part of your child’s schedule such as after naps (especially if
     dry upon awakening), twenty minutes after a meal (he may be more likely to urinate or defecate after
     he has eaten), or after having been dry for two hours. Explain to your child that the poop or pee wants
     to come out and be encouraging and upbeat, without ever forcing him to sit on the potty. You may read
     to him to encourage him to stay seated, and be sure to end the session after five minutes unless
     something is happening.

     After each session, praise and hug your child for successes as well as for any cooperation. A sense
     of accomplishment alone may be enough for some children, but many need treats such as cookies, 
     candy or stickers to stay focused. Save bigger rewards for when your child voluntarily uses the potty
     successfully without prompting him to go. Once he uses the potty by himself a few times, you can stop
     the practice runs but be sure to continue to praise your child frequently for doing so. If a mistake
     happens, treat it casually and try not to get upset since punishment and scolding will often make
     children feel bad enough to stop toilet training. Simply change your child as soon as it happens and let
     him know that with practice he’ll get better at it.

     Once your child has repeated successes, encourage the use of underpants and take your child with
     you to pick some out as a reward. You can still use diapers for naps, bedtime and travel outside the
     home as it may take several weeks to months before complete daytime dryness is achieved, and up to
     several years before he remains dry at night. If frequent accidents occur, though, it may also indicate
     that your child is not really ready for training or may have a medical problem. Speak to your pediatrician
     if your child has been dry for several months and starts having daytime accidents again, or if your child 
     shows signs of constipation or stool-holding. Remember that toilet training takes time, understanding
     and patience and you cannot rush your child into using the toilet when he is not ready. 

  

We have made it easy for you by
centralizing calls for both offices.
To make an appointment, talk to
a nurse or to contact a physician,
dial our main office number.
 
(847) 398-0400 Main Number
 
(847) 398-9590 Fax

 
algonquinpediatrics.com
arlingtonpediatrics.com

     Below are a few jokes we found
     funny. Let us know if you have any
     good ones for our next issue.
 
   
 Why was the nose sad?
   
 Because he did not get picked.
 
     What is the most tired part of

     an automobile?   The exhaust pipe.
 
     What's the longest piece of furniture in the
     school
?   The multiplication table!
 
 

Our motto: "We treat our patients like our own children and grandchildren."

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