SHAWN K CENTERS DO FACOP

In general the baby would have to fall a great distance 10 feet or more to sustain a skull fracture. In an otherwise healthy baby a brain bleed would also be unlikely. As an Osteopathic Pediatrician we would recommend to be evaluated by a physician trained in Osteopathic medicine and diagnosis as sometimes there can be damage to muscles and bone alignment which can cause problems (such as vision problems or even ear infections) later on.

A normal heart rate for an 18 year old male is 60 to 100 beats per minute. When it is greater than 100 beats per minute doctors call this tachycardia. Therefore, a resting heart rate of 145 beats per minute accompanied by chest pain needs to be evaluated by a physician. There can be many causes of tachycardia. Your doctor will likely take a detailed history, examine you by listening to your lungs and heart, and might do an EKG. The most common reason for symptoms you are describing is an anxiety attack. Anxiety attacks in your age group are common. Cardiac problems at your age would be extremely rare. Most cardiac problems in childhood and early adult years are diagnosed much earlier. However, certain drugs such as Ritalin or illicit drugs such as cocaine can cause tachycardia. Lastly, there have been some reports of new onset tachycardia after COVID-19 immunization. This is extremely rare but possible. Lastly, myocarditis is another rare condition Myocarditis can cause increased heart rate, chest pain and shortness of breath. There is an increased risk of myocarditis after the second dose of the COVID immunization. If it were from the vaccine it would most likely occur within 2-3 days of the second dose.

Shawn K. Centers MD (h) MH,FACOP
Professor of Pediatrics & Osteopathic Manipulative Medicine
Chief Medical Officer,.
The HOPE Center AZ
1-877-614-HOPE
www.drshawn.org
Homeopathic
Osteopathic
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Infant Motrin (Ibuprofen) is NOT the same as Children’s Motrin, and in recent years, this has resulted in older children being given too high of a dose of Infant Motrin. The infant version has nearly twice the amount of Ibuprofen (200 mg/tsp) than Children’s Motrin, which has 100 mg per teaspoon. If the medicine is a generic version, the mg dosage may vary. Ibuprofen is usually dosed based on kilogram weight (pounds divided by 2.2) and is given at 5 or 10 mg/kg based on severity of fever. The best advice is to follow the instructions on the packaging carefully, and if the weight instructions for your child is not on the labeling, call your health care provider and have them calculate the dosage for you. If you believe your child has inadvertently been given too high of a dose, call Poison Control immediately. Poison Control is a great resource. They can calculate the dose specifically and implement emergency measures if necessary.

Shawn K. Centers, DO, MH, FACOP

Generally, influenza may last 5 to 7 days in children and slowly resolve. The type of influenza and strain may be responsible for duration. COVID-19 can present with cold and flu-like symptoms. However, rarely is it associated with severe symptoms in children. If it is COVID-19, the symptoms may persist for weeks. Sometimes there can also be secondary bacterial infections. If the symptoms are persisting, you should contact your child’s physician.

Shawn K. Centers, DO, MH, FACOP

In general, these kits may be somewhat reliable. Whether, done in the office or hospital all blood based allergy testing has some limitations. Further, it depends on the specific antibodies that are being tested. IgG or IgE. IgE tests test for reacting that immediate. IgG tests for allergies that occur 6 to 12 hours after exposure. In the case of food, IgG tests my identity allergens not otherwise considered. Research, especially in Europe, suggests elimination of these allergens can improve many chronic conditions. However, all tests have their limitations and therefore should be interpreted by a clinician who is very familiar with those limitations and can help make decisions that are safe and effective.

Shawn K. Centers, DO, MH, FACOP