August 8, 2018 – This month the American Academy of Pediatrics (AAP) published reports that bring up safety concerns about a group of chemicals commonly referred to as food additives.
These are chemicals that are very commonly used with processed foods
Chemicals of Concern
There are two types of food additives.
Direct food additives – chemicals addedduring the processing of foods
Indirect food additives – these chemicals may contact food as part of packaging or processing
Many of these chemicals have a designation known as Generally Recognized As Safe (GRAS). This GRAS designation allows many chemicals to be used without FDA approval or notification. They are designated as safe by company employees or hired consultants. In its policy statement, the AAP is recommending a reassessment of this process.
Attempting to Clarify the Concern:
The AAP has produced two documents to add some clarity and direction toward reducing possible risks:
Practical Steps: Reduce Exposure to Chemicals of Concern
Frankly, it is difficult to avoid some of these chemicals completely. Here are known practical steps to reduce exposure (as published in the above AAP Policy Statement):
Prioritize consumption of fresh or frozen fruits and vegetables when possible, and support that effort by developing a list of low-cost sources for fresh fruits and vegetables.
Avoid processed meats, especially maternal consumption during pregnancy.
Avoid microwaving food or beverages (including infant formula and pumped human milk) in plastic, if possible.
Avoid placing plastics in the dishwasher.
Use alternatives to plastic, such as glass or stainless steel, when possible.
Look at the recycling code on the bottom of products to find the plastic type, and avoid plastics with recycling codes 3 (phthalates), 6 (styrene), and 7 (bisphenols) unless plastics are labeled as “biobased” or “greenware,” indicating that they are made from corn and do not contain bisphenols.
Encourage hand-washing before handling foods and/or drinks, and wash all fruits and vegetables that cannot be peeled.
August 7, 2018 – Many of our patient’s families have been following the pregnancy of our very own Sarah Owrey, MD.
[Editor’s Note: Don’t confuse Dr. Owrey’s pregnancy with those of the 2 other RCAM pediatricians also set to deliver over the next 7 weeks. That little period of time is something RCAM likes to call “Operation: Brace Yourself”]
We happily pass along that this past Sunday Sarah gave birth to a 7 lbs 15 oz baby girl. Sarah, husband Ryan and big brother Hudson have named her Harper.
When the list came to Whitney Houston’s “One Moment in Time”, they wrote the following:
Proudly play this 1988 song when you’ve labored intensively towards one illustrious achievement and you’re approaching the pinnacle of success. Breathe deeply, then bask in the glory and enjoy your moment
That description begs the question, “Were they referring to childbirth or competing in a decathlon?”
For those of you who have given birth you may ask, “What’s the difference?”
Let’s all bask with this happy family and welcome little Harper to her ‘Moment In Time.’
July 3, 2018 – Welcome to the banner change where, at Raleigh Children & Adolescents Medicine (RCAM), we officially move past spring and welcome the summer. This is a little late but – c’mon man – a legend retired 11 days ago – cut us a little slack.
Among those recommendations: every child 3 years old and above should have a well visit / complete physical every year.
If your child might play sports in middle school or high school, keep in mind their school will require them to have had a well visit / complete physical in the last year. The summer is a perfect time to take care of that. Call us and schedule a visit.
School Sports Participation Forms
Be ready when you hear at the last minute that your child wants to try out for their school’s quidditch team. Instead,
Schedule an appointment (919-781-7490).
Download the appropriate form your school requires.
Bring the form to your appointment and we will complete it at your child’s well visit / physical.
Avoid a crisis and have a completed form ready to go before school even begins.
Here are some of the local school athletic participation forms:
Wednesday, July 4th – Duraleigh and Brier Creek Offices both closed for the Independence Day holiday; holiday coverage described here (in short, a limited clinic starting at 10am at the Duraleigh office)
Thursday, July 5th – Duraleigh and Brier Creek Offices back to being open regular weekday hours
June 19, 2018 – How do you say “Goodbye” to an icon?
This week at Raleigh Children & Adolescents Medicine, we are trying to figure that out.
After 33 years, Friday, June the 22nd will be the last official workday for Leigh Lehan, MD.
Below is a token of what her peers had to say about those 33 years:
Leigh S. Lehan, MD Day Week
If you make it into the office, be aware that RCAM is celebrating her career for the entire week.
Monday, June 18th – ALLITERATION DAY – as we say goodbye to “LL”, we attempted to add our own alliteration to the day and all the while maintaining a pleasant, soothing demeanor – sorry you missed it.
Tuesday, June 19th – DIET SUNKIST DAY – Dr. Lehan is known for a ‘Sunny’ presence – she is also known to enjoy a Diet Sunkist from time to time, and – while that seems to be something none of the rest of us enjoys – on Tuesday we will take time to enjoy some of the small things that make the day more enjoyable
Wednesday, June 20th – NOTE CARD DAY – we will all do our best Dr. Lehan impersonation by writing thoughtful words on a piece of paper and sharing them with someone else in the office [NOTE about NOTE CARD DAY: if you are still reading this, you must be a big Dr. Lehan Fan like the rest of us; if so, please take a moment to write some words for her and we would be happy to sure that she gets them; send them to: RCAM / Dr. Lehan Retirement, 3100 Duraleigh Road, Suite 300, Raleigh, NC 27612]
Thursday, June 21st – BAKED GOODS & CRAFTS DAY – no explanation necessary
Friday, June 22nd – LEIGH S. LEHAN, MD DAY – Dr. Lehan began her career at RCAM in 1984 and we will try to recreate some of the themes of that era for her last day
Actually – to be more correct – we are on the day we traditionally refer to as Nurses’ Day (not a real thing) right smack in the middle of Nurses’ Week (that’s the real thing).
They deserve a week but we will try to cram our appreciation into a lunch at Brio. Hopefully some pasta and chocolate lava cake will help drive home our message: we appreciate the work our nurses do for our patients.
Similarly, a few weeks ago we recognized Administrative Professionals’ Day.
On April 25th we took our front office staff to McCormick and Schmick’s and our message to them that day (along with some crispy flounder and crème brûlée) had a similar theme: RCAM can’t perform its mission of helping children without the work of our Front Desk.
Both groups operate on the front lines of pediatric medicine – a challenging place to perform.
The Pediatricians of Raleigh Children & Adolescents Medicine – Drs. Carr, Lehan, Sena, T.Harris, Gessner, Meares, Fletcher, Long, L.Harris, and Ross – ask you to join us in recognizing our nurses and front office workers:
Thank you for your contribution to our important mission of helping the most important people in our lives – our children!
March 26, 2018 – In case you hadn’t noticed – this past Tuesday – calendar winter gave way to calendar spring.
At that time, we also snuck in our new banner – the cold and solitary ‘boy making snow angel‘ was replaced by this colorful and congenial ‘two girls in a field of marigolds‘.
Since changing to a spring-themed banner, it has snowed twice so we now recognize that the banner change was nothing but wishful thinking.
Flu Season Winding Down
That was some February.
As you can see, there is some flu out there still but not very much.
Start planning for the 2018-2019 flu season. Mark your calendars: September and October are good months during which to get your flu vaccine so you can be protected throughout flu season.
Well Season Cranking Up
Call now to schedule your child’s camp or school physical.
If your child has already had their well visit / physical for this year, remember that we can complete school, athletic and camp forms based on information from that visit. There is no reason that you would have to go to an Urgent Care or a Pharmacy Clinic for your annual physical.
Holiday Week Coming Up
Our office will be closed for routine business on Friday, March 30th in observance of the Good Friday holiday.
Our holiday schedule is very similar to our weekend schedule and both are detailed here.
In short, we will offer a morning clinic at the Duraleigh office for urgent needs on Friday, Saturday and Sunday.
For predictable needs – like medication refills – try to call before Friday.