There have been an increased number of teens using electronic cigarettes during school hours and at home. This increase can be attributed to the available flavors or the misconception that the electronic cigarettes are safe and not addictive. These devices are dangerous since they can contain more nicotine than a regular pack of cigarettes and are just as addictive.

Laws have been enacted banning manufacturers from creating fruit or candy flavored refillable cartridges in hopes of reducing availability and appeal to minors. This however has not been completely effective for prohibiting minors from acquiring the flavored electronic cigarettes. Manufacturers are still able to make single use electronic devices that are made with the desired candy or fruit flavors. The devices are easily concealable due to their size and lack of offensive odor.

The link below provides resources that parents and teachers can use to help teens quit and to be fully informed about the dangers of nicotine usage. At Cradle Thru College Care we will gladly have a discussion about the dangers of nicotine.

-Vincent Nguyen, FNP-BC

You may have heard the term “Evidence-Based Medicine” before and wondered what it meant and what does it have to do with you or your child.

Doctors who practice evidence-based medicine are committed to changing their practice recommendations based on research. For instance, if you had a child several years ago an evidence-based doctor would have told you to start high allergy foods with your baby at one years old, then a couple years ago they would have said to wait until 2 years old due to the increase in food allergies. When the evidence showed food allergies increasing even more with that recommendation the evidence swung to the current recommendation of early initiation of high allergy foods for most children. These doctors are not unable to make a simple decision about high allergy foods but are following the research trail as it leads to better and better practice.

At Cradle Thru College Care our focus is not just the pediatric population but the entire family as a whole. Some parents might be first-time parents while others are more seasoned. During pregnancy and thru delivery the majority of the focus is on the newborn and the mother. While this focus is justified, the fathers are sometimes forgotten.

The family unit experiences major changes before and after the baby is delivered. These changes are not limited to financial but emotional changes as well. As a father to a soon-to-be 4 year old, and a newborn on the way, this topic was of interest to me. I was surprised to learn that postpartum depression not only applies to mothers, but fathers are also susceptible to postpartum depression. In fact about 10% of all fathers fall into this category. It is called paternal postpartum depression (PPPD).

Many people do not want to get the flu shot because they think it will cause them to get sick with the flu. Maybe in the past, they have come down with cold symptoms a few days afterward and thought it was because of the flu shot.

Here are a few quick explanations:

  • The flu shot is meant to prevent influenza (sudden onset of high fever, muscle aches, fatigue, headache, cough and congestion).
  • The stomach flu (vomiting, diarrhea, stomach cramps) is different, and not related at all.
  • It is scientifically impossible for the flu shot to cause the flu because it is a killed virus that cannot replicate and cause symptoms. It is similar enough to the actual flu virus to help your body learn how to protect itself, but not enough to cause illness.
  • It takes 2 weeks for the flu shot to be effective. If you are exposed to influenza in the meantime, you can still come down with the illness because your body is not fully protected yet.

The best way to protect yourself from influenza is to get your flu shot early and wash hands regularly. Especially when hanging out in public places in the middle of cold and flu season!

Jennifer Isham, MD, FAAP

Sudden Infant Death Syndrome (SIDS) is the sudden, unexpected and unexplained death of an infant. SIDS age range is from birth to 1 year of age. Approximately 2500 infants die from SIDS per year in the United States.

We do not know the cause of SIDS, but we have been able to associate certain risk factors. Babies at highest risk include preterm infants, infants exposed to cigarette smoke while in the womb, twin infants, infants in the first 4 month of life, just to name a few.

The following calculator has been developed to explore the different risk factors, as well as factors that decrease the risk for SIDS, and how they pertain to your baby and household. Check it out to keep your baby as safe as possible!  - Dr. Isham

SIDS Risk Calculator< Click here to use the SIDS Risk Calculator

Baby teeth usually start to come in around 4-6 months. However there is a wide range of normal, and some do not come in until after 12 months. Common symptoms of teething are:

  1. Drooling
  2. Drooling
  3. Drooling
  4. Red bumpy rash around the chin
  5. Fussiness, crying, trouble sleeping

Sellers of amber teething necklaces claim they help with teething pain. The Baltic amber contains succinic acid, thought to provide some medicinal benefits when it is warmed by the skin and absorbed. However, there is no research that shows any benefit of these necklaces. The American Academy of Pediatrics recommends NOT using them due to risk of strangulation. Other ways to treat teething pain include:

  • Chew toys
  • Cold things
  • Massage
  • Tylenol®
  • Numbing gel for gums is no longer recommended

Temperatures can elevate during teething, but temperatures above 100.4º F are not due to teething. Keep the normal bedtime routine, and let your doctor's office know if you have questions or concerns.

Jennifer Isham, MD, FAAP

On November 4, the American Academy of Pediatrics issued a policy statement about spanking children. They stated that spanking children is an ineffective method of discipline and harmful for the children. When I first started practice we had a billing system that allowed a small statement about pediatrics to be put on the bill. I did this monthly, and when I said one month that spanking is not for children, I got a huge negative response. The main retort was “spare the rod and spoil the child!” Now the Academy has published this new policy which was picked up as a story by many newspapers, including front page coverage in the Kansas City Star. The study was done and the results were spanking is harmful for children. If you have any questions on this, ask your provider next time you come into the office. The Academy accompanied this policy with a statement about effective discipline to raise healthy children by Dr. Robert Sege, whose abstract I am about to include here:

“Pediatricians are a source of advice for parents and guardians concerning the management of child behavior, including discipline strategies that are used to teach appropriate behavior and protect their children and others from the adverse effects of challenging behavior. Aversive disciplinary strategies including all forms of hitting and yelling at or shaming children are minimally effective in the short term and not affective in the long term. New evidence has linked corporal punishment to an increased risk of negative cognitive, psychosocial and emotional behavior. It is better to develop strategies of discipline for children at different stages of their development. This new statement supports the need for adults to avoid physical punishment and verbal abuse and shaming of children.”

You may find more information at   I hope you have found this information helpful!  Dr. Metzl

“It’s just vapor!” said her son. “Everyone does it and it’s safer than smoking. And you smoke. Do you want me to smoke?” “Of course, not”, responded the mother, knowing the dangers involved.

This conversation goes on every day around the world. Are you ready for it? Let’s break it down.

What is Vaping?

The use of a hand-held device that uses batteries to produce an aerosol that contains nicotine, flavoring and other chemicals. The vapor is not the same as water vapor. It is aerosol, and there is nothing safe about breathing in aerosol.

Kurt Metzl Blog
When I walked out of the office in mid-December 2017, after 52 years of practicing pediatrics with the same group, it was certainly with mixed emotions.  I felt great satisfaction and pride for having taken care of thousands of babies, children, adolescents and young adults and interacted with thousands of families during that time, and I was thankful that these children and families trusted me to take care of their most prized possessions. I was thankful that I was given the opportunity to do this wonderful job, that I walked in every morning looking forward to the day, and that the families trusted me to do this.

Since then I have heard from many of you by phone or email and love the interactions and satisfaction that those missives gave to me. Dr. Glotzbach and her staff have given me the opportunity to continue these interactions, by providing thoughts from retirement about child care on our website blog.  In the meantime, retirement has not been all that bad, I’m able to bicycle more, ski occasionally, and now interact with you by blog.

(And Why A Sports Physical Is Not Enough) 

Most families have full schedules, making it difficult to get into the doctor’s office for an annual check-up. It seems so much more convenient to just go to the quick/convenient care down the street and have them fill out the required sports physical form for school. Be aware of the pitfalls of this decision.  

Sports physicals are very different than annual check-ups. In a sports physical, the provider will screen for sports-related health problems, like previous injuries, possible heart problems, vision/hearing concerns, and anything that could put your health at risk during a sports activity.

At Cradle thru College Care Pediatrics we firmly believe in the importance of vaccines.  Watch this video which presents some vaccine facts in an entertaining format. 


Children’s Mercy – Cradle Thru College Care
1004 Carondelet Drive, Suite 310  •  Kansas City, Missouri 64114  •  816-942-KIDS (5437)  •  Fax 816-942-4830