When and How to Treat a Fever: a Pediatrician’s Perspective
Last updated on August 9th, 2026 at 04:33 pm
I have posted in the past about fever and many of the myths surrounding it (Kids Will Get Sick: 5 Facts a Pediatrician Wants You To Know). In this post I would like to deal with the causes, nature of fever, benefits of fever, and some “treatments”. It is one of the most common reasons people bring their children to the Emergency room and probably among the least significant reasons for doing so.
Fever is a symptom of an illness such as cough, runny nose, headache, and many others and, except for the discomfort of the associated symptoms (chills, achiness, drowsiness, etc.) fever, in and of itself, does not need to be treated. As far as what is the definition of fever, it depends on the age of your child or infant. Just about any fever in an infant less than 3 months of age is considered to be significant for the purpose of evaluation. As your baby/child gets older the level of fever at which the concern rises does so with the height of the fever and the associated symptoms. Beyond the immediate newborn period (up to age 3 months) fever (or better termed higher than normal body temperature) is generally considered to be over 100.4 to 100.5 Fahrenheit.
Fever is part of the immune reaction that your body goes through to identify the offending agent and muster the resources to fight off that agent. Some studies have shown that the presence of fever helps your body fight off the disease in a more rapid and efficient way. As such, it is easy to see that in fighting off an illness, the reduction of that fever for its own sake is not necessarily the best thing to do. As I mentioned in my last post about fever, if your child is very uncomfortable due to the presence of fever, it certainly is reasonable to give a medicine such as Tylenol or Advil, but not just because the fever is there.
In an effort to reduce fever by worried parents many methods have been tried; such as placing a child in a cold bath or sponging with cold water, even to go as far as placing ice packs in supposedly strategic places. This would seem logical at first blush but in fact, human beings have a very good method of warming a cold body, and that is shivering, wherein the muscles go into a hypermetabolic state producing heat by metabolic processes. It is possible to place someone with a fever in a cold bath and have him or her come out with a higher temperature than before the bath. So the reasonable approach to comfortably lower a fever is to undress a child with fever but not enough to stimulate chills or shivering, place your child in a warm (skin temperature) bath of only a few inches of water and sponge off your child frequently allowing for natural evaporative processes to cool the skin. Offer your child plenty of cool fluids that will do some cooling from within as well as keeping him/her well hydrated- fever will cause extra fluid loss through sweating and the hypermetabolic state. Do not wrap your child in blankets just to “sweat the fever out” as doing this may also inadvertently raise fever, and increase fluid loss and discomfort- certainly covering the child enough to relieve chills and shivering is appropriate for comfort.
In trying to determine whether someone who runs a lower than “normal” natural body temperature is running a fever, just use the reading you get with the thermometer as the difference between a normal temperature and one that “runs low” is very small and would not be significant medically. Furthermore body temperatures vary throughout the 24 hour day in the same person- so when that “normally low” body temperature was taken becomes important.
So you can almost expect fever to accompany any illness of an infectious nature whether mild or severe. Keep calm, it is not the fever that is important, but the appearance, behavior and the presence of certain other symptoms that your Doctor with be most interested in when you call his office.
6 Tips to Help Your Child Get Quality Sleep
Last updated on June 14th, 2026 at 07:33 pm
The right amount of sleep is paramount for your little one’s development both physically and mentally. The duration very much depends on the child’s age. As a rule of thumb the following applies to my five children: between the ages 1 and 2, 11 to 14 hours of sleep, pre-school age (3 to 5 years old) 10 to 13 hours and school children (6 to 13 years old) 9 to 11 hours.
So, why is counting those ZZZ’s so crucial to a child’s growth? One of the things that resonate with parents the most is their child’s mood and learning ability – sleep directly affects it, and none of you want those temper tantrums or phone calls from school because your son or daughter is grouchy and tired.
Sleep is essential to children’s health, influencing your child’s weight, immune system, and overall ability to regenerate and assimilate what they have learned during the day. Another bonus is that your precious offspring will be less accident prone and aware of his or her environment.
Need we go on? It is safe to say that sleep is one of the most important things in your kid’s young life. Here are some tips and tricks to help you on your way.
Choose the right mattress:
You as a parent can have a direct influence on this.
So what is important here; what should you consider?
I have found that a pocket-sprung mattress is better suited than the memory foam version. This is because, unlike many adults, children need firmness contrary to an adaptable surface. I assumed that a medium-hard mattress is better for my child’s spinal growth and so far I still need to be proven wrong.
Routine is everything:
I always prefer to have my son and daughter in bed before 9 pm. Also, I created a bedtime routine as a kind of introduction to sleep. My precious little ones automatically understand when their dad or I use the words, “Sweetie, it’s off to bed in half an hour.”
Think of your computer – it also needs a certain amount of time to shut down.
Monitor electronic interference:
Now we have all fallen victim to the so-called benefits of the digital nanny. Let’s face it; our kids love tablets, on-demand TV, and music.
If you have allotted a certain amount of digital playtime, make sure it comes to an end at least an hour before bedtime. Another thing, depending on your child’s age, make sure the usage time does not exceed an hour in the evenings. From my experience too much electronic playtime makes them irritable and excitable – not the ideal recipe to collect those ZZZs.
Reduce stress:
High levels of stress heighten cortisol levels in the body. As a result, your kid will have trouble falling asleep. A small tip here – keep those bedtime activities calm and the house quiet.
Make bedtime special:
I mention this point because the time before bed is the ideal moment for you to make your young one feel loved. You might have a small talk or tell them a story; anything that will detract from our hectic everyday lives and make their voyage to dreamland all the more comfortable.
The right sleeping environment is the way to go:
Letting my kids have a big say in the way we designed their rooms was a huge boon.
Makes sense right? We all sleep better in an environment in which we feel comfortable and safe. Take care of those stuffed animals too; one or two is fine but having a bed full of them is counterproductive. And I always keep lighting to a minimum and make sure that the temperature is not too high or too low.
As a last bit of advice, be mindful and respectful of your child’s fears. It may sound silly to you, but to them, it is vital. A small something like imaginary magic pajamas or a brave teddy bear can go along way in creating peace in their mind.
Sleep: The Best Gift to Your Child’s Intelligence
Last updated on March 15th, 2026 at 08:15 pm
As parents, we are faced with an onslaught of products that claim to improve our child’s learning and intelligence. Manufacturers of toys, games, and electronic devices all try to convince us that they will make all the difference in your child’s development.
It turns out that perhaps the easiest gift we can give our child’s developing brain is sleep. We all know the importance of sleep, but new research links sleep directly to the development of executive function in young kids.
Why is Executive Function Important?
You may have heard the phrase “executive function” thrown around in education circles. What does it really mean? Simply put, executive function is the mental processes that help you regulate your behavior. Things like impulse control, working memory and planning are all part of executive function.
From this description you can probably tell how important executive function is to kids performance in school, and perhaps more importantly, their functioning in later life. Kids who lack executive functioning skills often appear to be misbehaving or defiant. In reality, their brain just doesn’t yet have the skills to regulate their behavior well.
The Link to Sleep
Think back to the last night you lost a night’s sleep. How did you feel the next day? Groggy, slow-moving, perhaps even clumsy or forgetful? This is a perfect example of how sleep affects executive control. Without proper sleep even we adults are not at the top of our mental game in terms of executive function. Now imagine this same scenario in children, who have not fully developed their executive control anyway.
Past research has clearly linked sleep loss to poor executive function in elementary age children. In these groups, children who lose sleep either due to medical problems or purposefully in lab settings often experience deficits in cognitive skills and the ability to pay attention.
We are just now understanding, however, the ways in which sleep might affect executive function in very young children. The newest study on this topic looks at children as young as 12-18 months of age. While these kids have not developed a great deal of executive function skills, it is still possible to see differences.
The results of this study found that among kids who had more overall night sleep, their executive function skills were higher than among kids who had less overall night sleep. Additionally, the area that showed the most difference was executive functions that centered on impulse control.
As parents, we all know what this looks like in real-life. Your toddler skips a nap or gets to bed too late one night and they are a mess the next day. Cranky, unable to follow the simplest instructions and cries at the drop of a hat. Now multiply this by weeks or months of inadequate sleep and you can get a picture of how sleep really affects executive function.
So, forget all the fancy gadgets and electronic games. If you want your child to develop their intellect and executive function in the best possible way—just let them sleep as much as they can.
How To Avoid Accidentally Locking Your Kids In The Car
Last updated on March 15th, 2026 at 08:15 pm
Mornings can be hectic with little kids, right? There are breakfasts to be made, lunches to be prepared, and kids to be dressed, not including preparing yourself for your workday too. When all that is taken care of, you still have to get the kids into the car, along with whatever you need to take along for work that day.
And don’t forget the squabbling over rain coats, bickering over seating arrangements (but Mommy, I want to sit in his car seat today!) and then navigating the frustrations of rush hour traffic on the way to begin your day.
And there is the big chance that you forgot something very important.
It is very easy to be a distracted parent. There are so many curve-balls be tossed your way at once it can be hard to make heads and tails of the situation. Perhaps the biggest fear parents have in their morning routine is if they left something important at home. Did I grab enough diapers? Where’s the wallet? Do I have my phone? My keys? Did I make sure to turn off the stove?
And then there’s the remote possibility of accidentally locking your kids in the car.
Believe it or not, this kind of mental blunder is not uncommon to even the best parents. Most parents assume this would never happen to them… until it does. Many times local locksmiths are called in to help open the doors of a car and liberate the tots inside.
The following are a few tips that parents have learned the hard way that can help you remember not to lock your kids inside a car:
No. 1 — ANY TIME you leave your vehicle, make sure you ALWAYS have your kids with you
While this may seem obvious, what this means is if you need to hop out to grab something really quick from the supermarket, take the kiddos with you! If your one-year old that has trouble sleeping has fallen asleep in the backseat, and you desperately need diapers, you have a choice to make – and neither option includes leaving him in the back seat. In many states this is required by law, especially in those states where the temperatures can get pretty high (such as Florida). By making this a habit, you will avoid leaving them in the car, and locking them in the car by accident.
No. 2 — Don’t leave your Keys where the kiddos can get them
Even if you are in the comfort of your home. The auto lock feature on the key fob makes it easy for even a small child to secure the vehicle with themselves inside. Spare keys are a must, and please don’t make the mistake of putting the spare key on the same ring with your primary key. Finding a competent locksmith to create a spare is far easier than having this job done at the dealers.
No. 3 — Pre-arranged Communications with your child’s caregiver
Make sure you are in constant communication with your child’s caregiver and that they will call you if your child does not show up at day care. Parents have been in such a flurry, they have left their child in the backseat of the car as they head to work. These are the absolute worst lock-ins as they can be potentially fatal. There are “reminder” smartphone apps that require check-ins – if your child does not arrive at the caregiver’s location, a pre-programmed alert will be sent.
No. 4 — Check the Seat
Yes, a simple routine whenever you enter or exit your car should become second nature to a concerned parent. The same way you can check to make sure your keys, cellphone and wallet/purse are in your possession, you can flip your head to the backseat and make sure your little one is where he should be, Place a sign on the dashboard if it will help you remember.
No. 5— Have a Locksmith on Speed Dial
Despite taking every precaution accidents can and do happen, so have a plan in place for the “just in case” scenario, keeping in mind that the harshness of the situation will ultimately determine your response. If it is at the height of the heat of the day, 80 degrees and climbing and your child is in the car, you will want immediate action. Call the police, ambulance, and attempt to break a window for entry into the car.
If it is cool outside, and your child hasn’t been in the car for long, you may want a less drastic option, such as calling your local locksmith. Locksmiths are typically on-call 24/7 and will have no problem showing up onsite to spring your tiny tot from their imprisonment. If you need help finding one near you, and you are in the U.S., you can use this site for help in finding a local one near you.
In Conclusion — you must always be vigilant when it comes to car safety and your child. Parents tend to spend a lot of time researching the perfect car seat for their child in the event of a car accident, God forbid. However, they don’t really think that they’ll ever accidentally leave their child in the car. They don’t think they’ll ever be that sort of parent who could be so neglectful.
The truth is that it so easy to make the mistake of accidentally locking your child in the car. With the off chance of that happening, parents must remain vigilant and create a plan to prevent this situation ever happening. Take these tips to heart.
Grandparents Raising Grandkids: 10 Tips to Ease the Transition
Last updated on March 15th, 2026 at 08:14 pm
In September of 2010, a poll by Pew Research found that the number of children being raised by their grandparents rose sharply since the start of the recession in 2007.
In fact, one in 10 grandparents were raising their children’s children. Statistics further show 2.9 million children or four percent of all U.S. children being raised by at least one grandparent.
In an earlier report, Pew said the number of households composed of multiple generations is higher than it has been in half a century. Parenting is tough enough as it is, but for grandparents who had dreams of retirement and are stepping in all over again, there are unique challenges for the new parent as well as the child.
Why the New Grandparenting Trend
How the child is impacted by this new relationship depends upon the reason for the arrangement as well as a few factors including the child’s age and temperament, the relationship between the child and grandparents, and the health, resources, and parenting abilities of the Grandparents. In the vast number of cases Grandma and Gramps are creating a far safer and more secure home environment for their grandkids.
Economic hardship recession is clearly the biggest reason for the trend. Parents lost their jobs or their homes and can’t afford to raise their children. But other factors weigh in for the shift: Unfit parenting due to drug or abuse is the second reason and the grandparents are trying to save grandkids from the foster care system. Military parents facing multiple deployments are entrusting their children to their parents. Whatever the reason, more grandparents are stepping up and stepping in to parent.
New Crop of Grandparents: Younger, Healthier, Wiser
It turns out today’s grandparent crop is the youngest and healthiest ever which is good news for the kids. Almost two-thirds of these grandparents are under 60 – their average age is 57. Because baby boomers had their first child about five years earlier than mothers today, they are the first generation of grandparents most likely to become great-grandparents. And they are taking their new parenting role very seriously, are highly committed, and most give themselves high marks.
Researchers at Stanford University suggest that older or “second time dads” may improve in their parenting and older dads are a growing trend. (Think: David Letterman, Rod Stewart, Kenny Rogers, Michael Douglas, Larry King, Paul McCartney and Kevin Costner who all fathered children in their 50s, 60s or 70s -some younger than these grandparents). Findings seem to support a notion that age produces far more than just wrinkles and gray hair: wisdom and parenting priorities come with those years. A few interesting tidbits about older dads parenting:
- Older dads are more involved in child rearing, more visible and want to be actively involved in childrearing.
- Older dads are more nurturing, warmer, generous with affection, and more relaxed and calmer in their parenting.
- Older dads are more willing to share child responsibility. In fact, three times more likely to do so than younger dads.
Tips for Grandparents In Your New Role
- Center on a smooth transition. The key priority is to help the child adjust to the new living arrangement as smoothly as possible. There will be bumps so expect them. Prioritize on helping the child transition and see this as his new home. Bring what you need (bed, bedspread, his favorite dish, clothes, bureau) as well as his health and school records and personal photos to help him adjust.
- Introduce yourself as the primary caregiver. Let others (parents, teachers, coaches) know your role: You are the parent. Answer those questions with pride.
- Don’t stress stuff you can’t do. Forget camping out in that pup tent with your child on those scouting overnighters. (You’ll hate yourself the next morning). Playing those rough, game of hoops on the asphalt won’t do much for your knees either. Don’t stress over what you can’t do with the child. Don’t worry if your finances are tight. You’re giving your child the most priceless gift there is: a safe and loving home.
Focus on activities you can share. Attend those musical, ballgames, movies, and dinners with the kids. Find and do the things you enjoy together. Remember, kids consider TIME together to equal love. Find those common connectors and build a relationship with your child. With age comes wisdom: older parents are more likely to focus on quality not quantity. They also know that while there are no guarantees in how their kids turn out, research proves that the strength of the parent-child relationship is the best way to raising emotionally-healthy kids. Focus on that relationship.- Keep the old, but create the new. A key goal is to create as smooth of a transition as possible and rebuild normalcy for the child. Family rituals create memories and can build security so continue past meaningful routines that are meaningful to the child (like opening presents at Christmas Eve, the special coconut birthday cake, or bedtime routines). But also create new rituals that are unique and bond him to his new family.
- Preserve the child’s dignity and privacy. If there was a traumatic reason (such as parental substance abuse, incarceration, loss of a home), keep an open dialogue with the child. Better to hear those details from you than someone else. You may want to withhold more traumatic and unflattering details about the child’s parents until he is more mature.
- Create a comeback. Chances are peers will ask why the child is living with you. Though a child never needs to give any personal and unflattering past family history, you may want to help create a simple explanation or “comeback” without all the sordid facts since she’s bound to be asked so she’s prepared.
- Seek counseling. Watch your grandchild carefully and tune into your grandchild’s emotional needs. Chances are you and the child will need psychological services to help you deal with any trauma in his past home. Seek help of a trained mental health professional, your clergy, as well as a school counselor, nurse and school psychologist.
- Get a support group. Older parents admit that one of the tougher and unique problems is that they lack a support group of parents their own age. Seek out online Grandparent Groups that are growing. AARP is another great source to offer support.
- Take care of you. Parenting is tough, but especially so when you’re dealing with a traumatic situation, financial hardship and you’re older. Join a health club, get those health check-ups, and watch your diet. A healthier, happier parent always produces a happier kid.
Youngest Citizens Are Forgotten Casualties of the Economy
The financial crunch is continuing to impact our society and our youngest citizens may well be forgotten statistics. Grandparents have always played a key role in child rearing, but from all indicators it seems they’ve moved far up on the “significant notch.”
On a personal note, I’ve dealt with a number of foster care cases and the grandparents were nothing short than miracle workers to the child. Grandpa and Grandma are absolute lifesavers. There are a number of lucky children who are blessed to have you in their lives.
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Dr Borba’s book The Big Book of Parenting Solutions: 101 Answers to Your Everyday Challenges and Wildest Worries, is one of the most comprehensive parenting book for kids 3 to 13. This down-to-earth guide offers advice for dealing with children’s difficult behavior and hot button issues including biting, tantrums, cheating, bad friends, inappropriate clothing, sex, drugs, peer pressure and much more. Each of the 101 challenging parenting issues includes specific step-by-step solutions and practical advice that is age appropriate based on the latest research . The Big Book of Parenting Solutions is available at amazon.com
The Terrible Twos: A Normal Child Development Stage
Last updated on March 15th, 2026 at 08:14 pm
It happens to every parent: One day you notice your sweet, loving baby has morphed into a defiant, tantrum-prone child who’s moody for no reason and loves to say no. Don’t worry, it’s a normal part of child development, and your child is just pushing the envelope, testing his boundaries to see what you’ll allow him to get away with.
Here’s how to get through this tougher side of childhood.
Why the twos can be terrible
Imagine that you’ve suddenly gone through a major developmental spurt that’s given you the ability to communicate, think, and even move like never before. It’s sort of like having superpowers – and naturally, you want to test them out to see how far they’ll get you. That’s sort of what life is like for your child during this stage. And when frustration occurs (perhaps brought on by the fact that you told him he cannot stay up past his bedtime), his mood may change, he may tell you no, or he may send a tantrum your way.
How to get through it
The most important thing to remember during this phase is to not take it personally. Just because your child tried to bite you in a fit of rage doesn’t actually mean he loves you less. He’s just frustrated. The best way to help him cope with his negative feelings is to boost his confidence, which will actually help him feel more independent (and, consequently, less frustrated). Here’s how.
Encourage exploration
Let your child feed his curiosity by allowing him to explore his world as much as possible in a safe way. If something’s not safe, tell him no – he’ll eventually come to learn what’s acceptable and what isn’t.
Offer praise
Boost your child’s self-esteem by letting him know when he’s done a good job. If he plays nicely with his friend or completes the task you asked him to (like changing into his pajamas), tell him how happy and proud you are.
Be consistent
Even though your child may be continuously reaching milestones, he might still have his bad days – don’t we all! Don’t let a tantrum or bad mood throw your resolve. Soon, he’ll grow out of it!
