(503) 667-8878
Gresham Office
(503) 261-1171
Happy Valley Office
(503) 295-2546
Northwest Office
(503) 531-3434
Westside Office

Metropolitan Pediatrics

FREE Workshop: Learn how to build resilience in your family!

JOIN US! March 6th or March 10th

Metropolitan Pediatrics invites you to participate in a FREE event that teaches easy ways to build resilience in your family.

This program was developed by the Children’s Health Foundation, child psychologist Dr. Amy Stoeber, and a team of local pediatricians.


What will I learn?

  • An overview of the impact of trauma and stress
  • The factors and behaviors that promote resilience in children and families
  • Parenting tools and strategies that teach children and families resilience
  • Self-care for families

Two separate training dates/locations are offered (childcare will not be offered at either event):

Tuesday, March 6th | 6pm-9pm
Providence Portland Cancer Amphitheater
4805 NE Glisan Street, Portland, OR 97213

* Light refreshments will be served.

-OR-

Saturday, March 10th | 9am-12pm
The Oregon Medical Education Foundation Conference Center
11740 SW 68th Parkway, Portland, OR 97223

* Continental breakfast will be served.

Sign up online or call (503) 241-2385 to attend!

Ready for Exclusion Day?

Do you know if your child’s immunizations are up-to-date? In a few days, your answer to that question could really affect your child’s schedule (and yours, too).

Vaccine Exclusion Day is February 21st this year. Children who are not current on their immunizations by that day will be excluded from school or daycare until their vaccines are caught up, or an exemption is received.

Vaccines required this school year

If you discover that your kiddo is behind on vaccines, please give us a call to schedule an appointment to get caught up! We’re happy to help.

Metro Peds would like to remind our patients and families that vaccination is the best defense against vaccine-preventable diseases. Vaccines are given for specific diseases because they can cause very significant morbidity (illness) and mortality (death). The majority of children have no side effects from vaccines beyond a few tears from a needle poke.

Need a copy of your child’s immunization record?

Did you know that you can quickly print your child’s immunization record from your MyHealth account? You can also use the portal to ask non-urgent medical advice questions, view test results, schedule and view upcoming appointments, request prescription refills, and view your health summary!

If you’re not already signed up, get started at myhealth.lhs.org/myhealth/signup.

Credible Vaccine Resources

For more information about vaccines, please talk with your pediatrician. We know that concerned parents sometimes use the internet to gather vaccine information, and while there’s some good information out there, there’s also a lot of poor information. We caution you to be careful about the sources you use to get vaccine information. Here are some great, reputable resources about vaccines and their safety:

AAP’s Healthy Children

Children’s Hospital of Philadelphia: Vaccine Education Center

National Network for Immunization Information (NNii)

Parents of Kids with Infectious Diseases (PKIDs)

Vaccinate Your Baby

Voices for Vaccines

Happy Valley Welcomes Dr. Lincoln!

Happy Valley is excited to announce the addition of Dr. Douglas Lincoln to their team. Although he’s new to 9300 SE 91st Avenue, he’s not new to Metropolitan Pediatrics. He’s been with our Northwest team since July 2016, and is very excited to bring his passion and practice to the Eastside!

Patients are invited to schedule appointments with Dr. Lincoln at our Happy Valley location, starting February 1st. For our growing families, Dr. Lincoln will join our Eastside pediatricians in seeing newborns at Providence Portland and Legacy Mount Hood Medical Centers.

Devoted to providing comprehensive care to every child in a caring and family-centered way, Dr. Lincoln looks forward to working collaboratively with Eastside patients and their parents! His special areas of interest include helping families meet their breastfeeding goals, including evaluation and treatment of tongue tie; incorporating positive parenting strategies; participating in advocacy and public policy around child health issues; and teaching medical students.

With two young sons of his own, Dr. Lincoln knows the rewards that come with parenthood, and he’s also experienced first-hand some of the challenges. As your family’s pediatrician, he’ll support you through the ups and downs of raising a healthy family. You can count on him to be your family’s confidant, moral support, and trusted partner in your children’s health and well-being. He can’t wait to get to know you and care for your family throughout the years!

To schedule an appointment with Dr. Lincoln, please call (503) 261-1171.

For more information about Dr. Lincoln’s background, check out his online profile.

Constipation Frustration: A Dietary Approach to Your Child’s Bathroom Woes

Many parents worry that their child is not going to the bathroom enough and may wonder what they should do if their child is constipated. There are many things you can do as a parent to help with constipation!

What is “normal”?

Everyone has a different “normal” when it comes to bowel movements, ranging from multiple times a day to a few times a week. In infancy, the average number of stools could be 3-4 times a day or even once a week for breastfed babies. In general, the number of bowel movements decreases as they get older and reaches adult frequency by the preschool years. A good rule of thumb is if there is a sudden change in your child’s “normal” pattern, your child may be constipated and need your help.

Signs of Constipation in Children

  1. Few bowel movements. This is often the first clue you will notice especially if you are changing diapers or are potty training. Counting how many times your child is going to the bathroom at home and asking if they went to the bathroom at school could be a good start in tracking bowel movements.
  2. Straining while on the toilet. If your child takes a long time in the bathroom, is straining, or looks like they are in pain while going poop, this is often a sign of constipation.
  3. Swollen belly. If your child has a swollen belly or is experiencing abdominal pain, this could be a sign that they have poop backed up.

What are the causes of constipation?

  1. Changes in diet. If your child is eating a lot of sugary foods or junk foods, or starts eating more quickly, this can cause constipation.
  2. Not enough water. If your body doesn’t have enough water, it can make poop dry and hard to pass.
  3. Too much dairy. This is often a cause of constipation in younger children, but can affect children of any age.
  4. Not being active. Not enough activity can encourage bowel movements to stick around instead of moving along the digestive tract.
  5. Resisting or ignoring the urge. Some children have an uncomfortable experience and avoid going to the bathroom, or they don’t want to stop having fun so they stiffen or hide and resist the urge. Some children don’t feel the urge to poop if they are experiencing a lot of stress.
  6. Certain medications and vitamins. This can be a common symptom and should be mentioned to your primary care provider.

How can I help?

  1. Bathroom reminders! Invite your child to go to the bathroom regularly (like after every meal) to help them remember.
  2. Exercise! Get them to run around and increase physical activity to get things moving!
  3. Get more fiber! Eat more fruits and vegetables, whole grains, and beans to help the body move anything that is stuck.
  4. Prune juice, pear juice, and apple juice. Sorbitol is a kind of sugar in these juices that can help constipation. Children can drink 4 ounces a day to help constipation, but avoid extra sugar. The American Academy of Pediatrics does not recommend juice for any baby less than one year old.
  5. Drink more water! As we increase fiber, we want to make sure there is enough water so that we don’t make constipation worse. Warm liquids may help, too.
  6. Limit dairy. Lower the amount of dairy your child is eating until bowel movements return to normal.

When should I be concerned?

If your child is less than one year of age and has not gone to the bathroom in 3 days or is vomiting, has a fever, or blood in their stool, contact your primary care provider.

Sources

Constipation in Children. Mayoclinic.org. https://www.mayoclinic.org/diseases-conditions/constipation-in-children/symptoms-causes/syc-20354242. Reviewed August 12, 2017. Accessed December 14, 2017.

Nurko, S., and Zimmerman, L. A. Evaluation and Treatment of Constipation in Children and Adolescents. American Family Physician. 2014; 90(2): 82-90. https://www.aafp.org/afp/2014/0715/p82.html. Accessed December 14, 2017.

What is Constipation? WebMD.com. https://www.webmd.com/digestive-disorders/digestive-diseases-constipation#2. Reviewed on November 13, 2017. Accessed December 14, 2017.

What juices can help relieve constipation? Healthline.com. https://www.healthline.com/health/digestive-health/juice-for-constipation#modal-close. Reviewed on March 23, 2016. Accessed December 14, 2017.

Meningococcal B Outbreak at OSU

Six Oregon State University (OSU) students have confirmed cases of meningococcal disease. In response, OSU is requiring all Corvallis campus students 25 and younger to begin meningococcal B vaccination by February 15, 2018. Per Oregon law, vaccination during an outbreak is 100% covered for health plan members 25 and younger (you MUST be enrolled at OSU’s Corvallis campus for this to apply).

Metropolitan Pediatrics has increased our supply of meningococcal B vaccine, and we are ready to vaccinate college students during winter break. Vaccination is strongly recommended for ALL college and college-bound students enrolled at ANY university. The vaccine requires two doses given AT LEAST one month apart. If you are unsure whether you have received this vaccine, please contact your clinic. We are also happy to answer any questions you may have about the vaccine.

Vaccination is the best defense against meningococcal disease. Other ways you can help prevent the spread of meningococcal—and other diseases—include coughing into your elbow or a tissue, avoiding other people’s saliva (do not share drinks, utensils, toothbrushes, lip balm, or kisses!), and washing your hands regularly.

Meningococcal bacteria can affect the body in different ways—one way is meningitis, or extreme swelling of the brain and spinal cord’s surrounding tissue. Another potential outcome is a serious blood infection called meningococcemia. Both responses make you very sick and can even be fatal! Fortunately, most people recover fully with treatment.

Signs & Symptoms

  • Sudden fever
  • Dark purple rash
  • Severe headache
  • Severe body aches
  • Nausea and/or vomiting
  • Tiredness or feeling weak
  • Stiff neck
  • Confusion

Resources

FamilyCare Closing in January

Dear Patients & Families,

As many of you have heard, FamilyCare, a longstanding partner of Metropolitan Pediatrics, has issued a statement that it will close its doors in January 2018. While this is alarming, and certainly concerning to the covered lives that FamilyCare represents, your pediatrician and all of Metropolitan Pediatrics would like to let each of you know that we remain steadfast in our mission to provide outstanding care for the pediatric community, and also for your family.

There is still a lot of unknown about FamilyCare’s future, but we would like to let you know that we are here for you! We will continue to see FamilyCare patients and to care for your family.

We continue to be an advocate for the children and families of Oregon, and your partner in the well-being of your own child. Please know that we are here to serve you and your family during these uncertain times, and will continue to do so going forward. If you need to schedule an appointment, or have questions regarding the health plans Metropolitan Pediatrics accepts, please call our offices today:

  • Gresham: (503) 667-8878
  • Happy Valley: (503) 261-1171
  • Northwest: (503) 295-2546
  • Westside: (503) 531-3434
  • Business Services (for insurance questions): (503) 466-1668

To each of you, we wish a healthy and joyous holiday season! May the New Year bring peace, happiness, and fun to all!

Steps to Food Acceptance: A Practical Guide for Helping Your Picky Eater

Chances are your child doesn’t love every food he tries — and that’s normal! But when picky eating becomes a problem, this practical step-by-step guide will help your child transition from food avoidance to food acceptance.

Step 1:

Choose a new food and put a tiny amount (about the size of a pea) on your child’s plate. If your child is particular, don’t let the unfamiliar food touch other accepted foods on the plate. You can even try putting the new food on a separate plate until your child is ready.

Step 2:

Encourage your child to smell the new food on the plate. You can smell it too — your child may try to copy you!

Step 3:

Encourage your child to pick up the new food with a fork or spoon.

Step 4:

Encourage your child to touch the new food with their fingers.

Step 5:

Encourage your child to pick up the new food with their fingers.

Step 6:

Encourage your child to touch the food to their cheek, then to their lips to “kiss the food,” and then to their tongue. Do this at a rate that suits your child — some children may do all steps at one mealtime, others will take several!

Step 7:

Encourage your child to lick the new food and then put it in their mouth. They can remove it without chewing or swallowing.

Step 8:

Encourage your child to bite, chew, and swallow a small amount of the food.

Step 9:

Gradually increase the amount of the new food until your child will eat a “normal” portion. At this point your child has accepted the food! Remember that if your child still does not like the food at this point, that is okay. It may take up to 25 exposures of a new food for your child to enjoy it.

Step 10:

Start the process all over again with another new food!

How to Make the Grade When It Comes to School Lunches

“I had pizza.”
“I don’t like school lunch.”
“I didn’t eat lunch.”

Do these words sound familiar?

As parents, you want your kids to eat healthy foods, yet this goal becomes difficult when nearly a quarter of their meals are eaten at school. Fortunately, you can approach the issue with your child, and together you both can learn how to make healthy school lunch choices.

Educate

Talk with your child about the importance of lunch for the brain and body. This may be a helpful discussion for busy parents as well!

Make a Plan

Planning ahead for lunch obstacles can save kids from temptation in the lunch line.

  • Read the school lunch menu the night before, and make a healthy choice together.
  • Choose a day to eat from the salad bar.
  • Allow your child to pick a “fun day” to have foods like pizza and hot dogs.

Aim for the Plate

Regardless if your child packs a lunch or buys a lunch, challenge him or her to make their lunch look like the USDA’s MyPlate model.

For more information on how to make your child’s lunch healthy, and for more information on the USDA’s MyPlate, visit www.fns.usda.gov/school-meals/school-day-just-got-healthier-parents.