Tag Archives: Lexington Pediatric Practice

Addressing Multisystem Inflammatory Syndrome in Children

You may be hearing a lot in the news about Multisystem Inflammatory Syndrome in Children, or MIS-C, and parents have many concerns.

It’s a condition where parts of the body can become inflamed, including the heart, lungs, kidneys, brain, skin, eyes and gastrointestinal organs. While clinicians do not yet know what causes it, they do now that many children with it had COVID-19, or had been around someone with COVID-19. Some cases have been fatal.

In this WLTX news segment, Lillie Bates, MD, FAAP, pediatrician with Lexington Pediatric Practice, a Lexington Medical Center physician practice, talks about MIS-C and what parents should know.

Symptoms
Typically, MIS-C symptoms are fever, severe abdominal pain, unusual rashes, swollen lips and red eyes. It can also include diarrhea, vomiting, neck pain and extreme exhaustion. Dr. Bates points out that many things that cause rashes and fevers in children; but, in these cases, the children usually look very ill, and parents should recognize these differences in their child.

What Should Parents Do?
If your child is showing these symptoms within a few weeks of a COVID-19 diagnosis or even with possible exposure, contact your child’s physician. If your primary care physician is not available, seek an Urgent Care or Emergency Room for evaluation.

Should Parents Be Worried?
Dr. Bates says it’s a very rare syndrome, even in areas that have reported multiple cases. And, the good news is that most children recover completely with appropriate care.

How Can We Protect Children?
Parents should talk to their children about the importance of wearing masks, washing hands and using hand sanitizer.

For more information about this condition, as well as how to best talk to your children about COVID-19, visit HealthyChildren.org.

Answering Children’s Questions about COVID-19

From watching news reports to social distancing and isolating, children have a lot of questions about COVID-19. Lauren Matthews, MD, pediatrician with Lexington Pediatric Practice, was a guest on WIS-TV to talk about how to respond to kids’ questions about the pandemic. Here’s a look at her interview.

Below are some of the questions and answers from the segment:

Q: When will it be safe to have a play date with a friend again?
A: We hope it will be later this summer, but things may look a little different. If you’re sick or your friend is sick, it’s not a good time for a play date. There may also be smaller play groups. Instead of playing with five friends, it might be one. And playing outside could be the best option for you.

Q: What should I do if I see people at the grocery store not practicing social distancing?
A: We can’t control what other people do, but we can control our actions. If you see someone in the grocery store who gets too close to you or isn’t wearing a mask, find another path and go away from them.

Q: Why is COVID-19 making some people so sick?
A: Some people are getting very sick because they have underlying health conditions. So far, healthy children do not seem to be at increased risk to get the coronavirus. Studies from China show that about 90 percent of children with coronavirus there had very mild to no symptoms.

Q: What will school look like next year?
A: I think school will look much different next year. There will be more hand washing and hand sanitizer. You can start talking to kids about that now. Tell them they may not sit at a table; instead, there will be individual desks spread apart. It’s important to remind them that everything we’re doing is to help keep them safe.

Q: What is your advice about inviting friends over for a play date?
A: If a child has any symptoms of an illness, they shouldn’t be playing with other children because it puts everyone at risk. In that case, encourage Skype, Zoom or talking on the phone.

Q: Why are parks and amusement parks closed?
A: Those places are popular and have a lot of people standing close together. You can’t practice good social distancing there. Closing them helps keep everyone safe. Meanwhile, you can do things outside at home. Try going for a nature walk around your neighborhood and see what you can find.

Q: When is it ok to have a friend over to swim in a backyard pool?
A: If everyone is healthy and well, it’s ok to have one or two friends over to swim. Remember to wash your hands, practice good social distancing, and not have the gathering be too large.

Q: Does mask material matter?
A: Yes. The CDC has put out some guidance about masks. One of the best types of masks is one that’s 100 percent cotton because that seems to be good at filtering out droplets and keeping kids safe.

Q: How do you address concerns from a child about becoming sick or having a loved one pass away from COVID-19?
A: It’s normal for children to be scared with everything on the news about the coronavirus. Make sure they understand that doctors are doing everything they can to learn as much as we can as quickly as possible to help keep kids safe. There’s so much about COVID-19 that we don’t know. It’s important to focus on what we do know and what we can do to prevent it. Frequent hand washing is important. Cough or sneeze into your sleeve or a tissue, throw the tissue away and wash your hands.

What’s Too Sick for School?

It’s a question parents face often during cold and flu season: when is your child too sick for school?

In this WLTX news story, Dr. Caroline Webber of Lexington Pediatric Practice, a Lexington Medical Center physician practice, breaks down what to look for when deciding if your student needs a day at home.

Sometimes, it can be difficult to tell. But according to Dr. Webber, there are a few key clues. Learn more by watching the video below.

Dr. Webber breaks down the most important factors to keep in mind.

Q: What are signs that your child needs to stay home from school?
A: Fever: a child with a fever should not go to school. A fever is defined as a temperature above 100.4 degrees. Also, keep your child at home if you feel they’re not well enough to participate in class or they would be distracting to others because of coughing or blowing their nose constantly. And, don’t send them to school if they’re in pain.

Q: What if you have a hard time telling if your child is sick?
A: You know your child the best. If they’re not obviously sick with a fever, vomiting or diarrhea, consider if they will be at their best at school.

Q: When can they go back?
A: Once your child is free of a fever for 24 hours, they would not be considered contagious. If they’re diagnosed with bacterial infection and taking antibiotics, they can go back to school 24 hours after they begin taking the antibiotics. They’re also considered well enough for school 24 hours after vomiting.