Developmental Milestones: 4 to 7 Months

January 1st, 2010 | Comments (0)

What are some of the developmental milestones my child should reach by seven months of age?
From age four to seven months, the most important changes take place within your child. This is the period when he’ll learn to coordinate his emerging perceptive abilities (the use of senses like vision, touch, and hearing) and his increasing motor abilities to develop skills like grasping, rolling over, sitting up, and possibly even crawling.

Here are some other milestones to look for.

Movement Milestones
Rolls both ways (front to back, back to front)
Sits with, and then without, support of her hands
Supports her whole weight on her legs
Reaches with one hand
Transfers object from hand to hand
Uses raking grasp (not pincer)
Visual Milestones
Develops full color vision
Distance vision matures
Ability to track moving objects improves
Language Milestones
Responds to own name
Begins to respond to “no”
Distinguishes emotions by tone of voice
Responds to sound by making sounds
Uses voice to express joy and displeasure
Babbles chains of consonants
Cognitive Milestones
Finds partially hidden object
Explores with hands and mouth
Struggles to get objects that are out of reach
Social and Emotional Milestones
Enjoys social play
Interested in mirror images
Responds to other people’s expressions of emotion and appears joyful often

Developmental Health Watch
Because each baby develops in his own particular manner, it’s impossible to tell exactly when or how your child will perfect a given skill. The developmental milestones listed in this book will give you a general idea of the changes you can expect, but don’t be alarmed if your own baby’s development takes a slightly different course. Alert your pediatrician, however, if your baby displays any of the following signs of possible developmental delay for this age range.

Seems very stiff, with tight muscles
Seems very floppy, like a rag doll
Head still flops back when body is pulled up to a sitting position
Reaches with one hand only
Refuses to cuddle
Shows no affection for the person who cares for him
Doesn’t seem to enjoy being around people
One or both eyes consistently turn in or out
Persistent tearing, eye drainage, or sensitivity to light
Does not respond to sounds around him
Has difficulty getting objects to his mouth
Does not turn his head to locate sounds by four months
Doesn’t roll over in either direction (front to back or back to front) by five months
Seems inconsolable at night after five months
Doesn’t smile spontaneously by five months
Cannot sit with help by six months
Does not laugh or make squealing sounds by six months
Does not actively reach for objects by six to seven months
Doesn’t follow objects with both eyes at near (1 foot) [30 cm] and far (6 feet) [180 cm] ranges by seven months
Does not bear some weight on legs by seven months
Does not try to attract attention through actions by seven months
Does not babble by eight months
Shows no interest in games of peekaboo by eight months
If you wish to have a developmental evaluation for your baby call and make an appointment with Dr. Bar
949 706 1212
359 San Miguel Dr #200 Newport Beach
California 92660
www.DrBar.org



Atopic Eczema

April 30th, 2009 | Comments (1)

Newport Concierge Pediatrics
359 San Miguel Dr. Suite 200
Newport Beach Ca 92660

1. Moisturize, moisturize, moisturize. Eczema is usually dry and itchy, so applying moisturizers as needed to keep the skin moist is part of an effective treatment plan. Frequent moisturizing locks in the skin’s own moisture to prevent dryness and cracking.
One of the best ways to lock in moisture is to apply moisturizer after bathing. When bathing, care must be taken to avoid irritating the skin. For tips on how to bathe and moisturize to help alleviate eczema, 
visit Bathing and Moisturizing Guidelines.
2. Limit contact with anything that irritates the skin. Soaps, bubble bath, perfumes, cosmetics, laundry detergents, household cleaners, too much time spent in water, finger paints, gasoline, turpentine, wool, a pet’s fur, juices from meats and fruits, plants, jewelry, and even lotions can irritate sensitive skin. Know what irritates your skin and limit contact with all that does. Avoiding personal-care products that contain alcohol and not washing hands too frequently also will help reduce irritation.  

3. Avoid sweating and overheating. The most common triggers of the scratch/itch cycle are sweating and overheating. It is essential to prevent these situations whenever possible.


4. Avoid sudden changes in temperature and humidity. A sudden rise in temperature can cause overheating and sweating. A drop in humidity can dry skin and lead to a flare-up.


5. Grab a cold compress to curb the itch. Scratching makes the condition worse and may puncture skin allowing bacteria to enter and cause an infection. Gently applying a cold compress to the area that itches can reduce inflammation and lessen the desire to scratch.


6. Keep fingernails short. Short nails decrease the likelihood that scratching will puncture the skin. Keeping nails short and wearing cotton gloves at night may help prevent scratching that punctures the skin while asleep.


7. Dress in loose-fitting cotton clothes. Synthetic fabrics, wool, and other materials that feel rough to the touch often irritate the skin and trigger a flare-up. Cotton and cotton-blend clothes usually make skin feel better.


8. Double rinse clothes, and wash new clothes before wearing. Laundry detergents can trigger flare-ups. Using a fragrance-free, neutral pH detergent and double rinsing clothes can help prevent flare-ups caused by laundry detergent. It also may be helpful to wash new clothes before they are worn as washing removes excess dyes and fabric finishers, which can irritate the skin. Tags should be removed, too, as these can rub the skin, causing irritation.
9. Reduce stress. Stress reduction plays a key role in preventing eczema flares. In today’s fast-paced world, reducing stress can be challenging; however, there are ways to effectively reduce stress. For more information about how to reduce stress, visit Stress Reduction Techniques.
10. Follow a prescribed treatment regimen. Moisturizing and using medications as directed by your doctor go a long way toward keeping flare-ups at bay.

For Atopic Dermatitis Only
Since atopic dermatitis is a type of eczema that occurs in people who have an inherited predisposition to allergies, such as asthma, hay fever, or food allergies, the following also can help prevent a flare-up:
11. Limit exposure to environmental triggers. Pollens, molds, mites, and animal dander can cause flare-ups. When pollen and mold counts are high, limit time outdoors. To help eliminate flare-ups from mites and animal dander, follow the guidelines in Around the Home.


12. Find out if any food(s) triggers the atopic dermatitis. If you suspect a food allergy is a trigger, be sure to tell your dermatologist. Tests can be run to determine which, if any, food allergies exist.
 



Doctor Bar received the “Physician of Excellences 2009″ award. Presented by Orange County Medical Association.

April 24th, 2009 | Comments (0)

Dr. Bar, our local Newport Beach pediatrician was awarded the “Physician of Excellences” for her dedication to her profession and meeting the demands of every day life of being a physician. From seeing sick children, calming worried mothers, helping teenagers through their issues, to being just a mother and a wife, all at the same time. Most of the time, her work does not end at 5pm. Phone calls from the hospital and patients that have access to her cell phone, call her through out the night.
Also, Dr. Bar is the only “Physician” that will come to your house to care for your sick child. She is one of the best, considerate, hard working, and well educated physician around and she is truly immersed into her profession and she deserves this award. Written by her dedicated husband, who believes that all spouses married to physicians also deserve an award called “Spouses of Excellences”.
physician_excellence_award-dr-bar1

Immunization and Breaking down the vaccine load for children why do parents ask for it. Read more then decide:



Dr. Bar ’s Blog: Baby food made simple: Babies “Eat Fresh”

April 24th, 2009 | Comments (0)

Newport Concierge Pediatrics
359 San Miuguel Dr. Suite 200
Newport Beach Ca 92660

Baby food made simple
mommy can cook healthy gourmet baby food in a flash. Expensive but very much worth it!.

My favorite food for babies after breast feeding for the first 6 months of life is:
Papaya
Avocado
Mixed vegetables: carrot, yam or sweet potato and spinach
Always mix with water or you can get creative and mix with beans or lentils water (soup) they are very rich in iron.
DO not mix with artificial juices that come in jars or bottles in the stores.
Enjoy your baby they will eat anything for you if you try long enough and don’t give up if they spit it up the first few times they are learning how to eat the more formed foods and remember that is not the same as sucking.
Please send your comments and share with us your experiences, looking forward to hear from you.
Best Regards
Dr. Bar
Newport Concierge Pediatrics
359 San Miguel Dr. Suite 200
Newport Beach Ca 92660
Tel: 949.706.1212



Children Doctor Newport Beach: Dr. Bar’s Blog; Babies can tell mom when they are hungry: Neh!

April 10th, 2009 | Comments (2)

Doctor Iman Bar
Board Certified Pediatrician
Fashion Island office:
359 San Miguel Dr.suite 200
Newport Beach Ca 92660

Baby communications: you will learn what each cry means it takes a few months and a lot of patients
best of luck

Babies say five words
Neh when they are hungry and want to feed

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If you want to learn more about Dunston language click on this clip:
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Children’s Doctor Newport Beach: After Hours Pediatric House Calls:

April 7th, 2009 | Comments (1)

Four reasons to choose a house call as an alternative to the ER or hospital urgent care:

(1) Typically, Dr. Bar will see your child in under an hour. The average wait time at the ER is approximately 4-6 hours, and at a hospital urgent care, only slightly shorter.

(2) Your child will be seen by Dr. Bar a board certified pediatrician . At the ER or hospital urgent care, your child will be seen by a doctor that generally treats adults or most commonly a Physician assistant and then they will ask you to follow up next day with the pediatrician.

(3) Your child will be seen at home in a child-friendly setting. At the ER or hospital urgent care, your child will be amongst ill adults and may be exposed to sick people or trauma scenes that may frighten your child.

(4) The cost associated with standard pediatric care at the ER or hospital urgent care is extremely high. Often times, the cost of an ER visit or hospital urgent care visit is more than 3 times the cost of a House Call. Also the house call bill could be submitted to your insurance for reimburcement.

“By making House Calls I can deliver urgent care in a nurturing environment. ”
Dr. Bar
Newport Concierge Pediatrics
359 San Miguel Dr. Suite 200
Newport Beach Ca 926660
Tel: 675.6759

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