Alexis Lieberman MD, Advocare Fairmount Pediatrics and Adolescent Medicine

There are a few studies now that show that those who are vitamin D deficient get worse Covid. A multivitamin is plenty though don’t overdose on vitamin D. Of course, getting it from the sun is best. Please spend at least an hour outdoors daily!

What kinds of help do you need right now? Who can you ask?

Seems helpful..

If your kid is having trouble w distance learning, there are things you can do about it. Check this article for ideas of things to request of the school. If the school resists, your child may need a 504 plan. (We can discuss that at an appointment if your kiddo is my patient). https://www.additudemag.com/distance-learning-adhd-iep-50/

Good news: Researchers Say Child-Care Centers Do Not Drive The Spread Of Coronavirus Even In Communities With High Infection Rates The Los Angeles Times (10/14) reports a study published in Pediatrics provides some of the clearest evidence yet that child-care centers don’t hasten the spread of the novel coronavirus, even in communities where overall infections are high. Researchers surveyed 57,335 providers serving almost 4 million children across two-thirds of counties in the United States, including Puerto Rico, and found that those who continued to work during the first three months of the pandemic were no more likely to have fallen ill than those who did not. The Wall Street Journal (10/14, Subscription Publication) also covers the study.

We are running three DBT groups out of Advocare Fairmount Pediatrics in conjunction with Denise Wolf One group for each age group. The 8 to 11-year-old group is starting right away and the two older groups will be starting in January. Please be in touch with Denise directly.

Please consider these groups for your kids with BIG emotions!

Here is an important study regarding Covid, showing that an inexpensive medication, the same one in the lice medication called Sklice, lowered mortality in an intensive care unit. https://journal.chestnet.org//S0012-3692(20)34898/fulltext

Interesting article on the financial effects of Obamacare. Short version - it reduced costs for all, though biggest effect was for lowest income. How the Affordable Care Act impacted families’ health care costs September 30, 2020 Miranda Hester... Relevant Topics The Affordable Care Act was meant to reduce the financial burden of receiving health care. A report examines whether the legislation helped families mitigate their health care costs. One of the intents of the Affordable Care Act legislation was to help alleviate the financial burden placed on families because of health care. A report in JAMA Pediatrics offers some insight into whether the legislation had the intended effect.1 Researchers ran a cohort study that used data from the Medical Expenditure Panel Survey, which is a nationally representative, population-based survey. The changes in family financial burden were examined using multivariable regression with a difference-in-differences estimator. The income groups were (138% [lowest-income], 139%-250% [low-income], 251%-400% [middle-income], and >400% [high-income] federal poverty level). The main outcomes were family annual out-of-pocket health care and premium cost relative to the familial income. Burdensome premiums were considered to be those that exceeded 9.5% of income and extreme out-of-pocket burden was classified as costs that were more than 10% of income. When compared with high-income families who saw a lesser change following the implementation of the Affordable Care Act (high out-of-pocket burden, 1.1% pre-Affordable Care Act vs 0.9% post-Affordable Care Act), families with the lowest income had the greatest reduction in high out-of-pocket burden (35.6% before implementation vs 23.7% after implementation difference-in-differences: 11.4%; 95% CI, 13.2% to 9.5%). Low-income families saw a reduction (24.6% pre-implementation vs 17.3% post-implementation, difference-in-differences: 6.8%; 95% CI, 8.7% to 4.9%) and even middle-income families saw a reduction (6.1% before implementation vs 4.6% following implementation, difference-in-differences: 1.2%; 95% CI, 2.3% to 0.01%). Premiums rose for all groups, but the affordability was not as exacerbated among the lowest, low, and middle-income families when compared to the high-income families. The investigators concluded that the findings indicated that low and middle-income families with children who were eligible for Medicaid because of an expansion or received Marketplace subsidies saw greater reductions in the financial burden linked with health care. However, a number of families still have to deal with expensive premiums and high out-of-pocket costs. Reference 1. Wisk L, Peltz A, Galbraith A. Changes in health carerelated financial burden for US families with children associated with the affordable care act. JAMA Pediatr. September 28, 2020. Epub ahead of print. doi:10.1001/jamapediatrics.2020.3973

Check this out.

Some new data on avoiding celiac disease. https://www.medpagetoday.com//generalgastroenterology/88837

Excellent info.

Here you go ... actual replacement words and actions for you.

Here is our testing policy for fever and cold symptoms. We have testing for common cold viruses in the office, as well as testing for Covid that can be sent to the lab. We can test anyone w any insurance.

from empowering parents.com: The Skills Every Child Needs for Good Behavior Just because you’re angry doesn’t mean you get to punch a hole in the wall, right?...Continue reading

Are you a parent with children who have Medicaid, CHIP, or Marketplace health insurance? Join for a listening session to share your thoughts about these programs and earn $25. PHAN is looking to get feedback from parents in Philadelphia about your experiences getting and using health coverage for your children. We want to hear from you about what changes need to be made or successes you’ve had. Join on Tuesday, September 22rd at 12pm via Zoom. For successfully participating ...in the session you'll earn a $25 Visa gift card. Sign up using the link below or reach out to [email protected] with further questions! https://us02web.zoom.us//tZcrde-urz8vGtxVG7-zTFLUS91XlrYgb

Share with your family and friends: #PHLConnectED sign-ups are now OPEN for public school families who currently lack an Internet connection for remote learning. Eligible households will receive NO COST internet and devices. Dial 2-1-1 and press 1 to see if you qualify. https://www.phila.gov/PHLconnectED