18, 19 years (female) Nutrition Try to eat 3 healthy meals a day and make this a habit for life. Your performance in school and at work and even during your free-time activity still depends on your diet. Even if you feel you're done growing, you still need 3-4 foods a day high in calcium to support the completion of your bone density and continued bone strengthening. Also, 2-3 iron-rich foods a day are still recommended to support your blood. Read food labels to see how much fiber you need and how much you are actually getting — fiber is known to prevent colon cancer and heart disease. Avoid the "traps" that often affect people your age out on their own. Junk foods taste great but can deprive your body of what it really needs and can put on the excess weight. Also, avoid habits that will be tough to break later on, such as always eating in a rush or in front of the TV, or eating when stressed or while studying. If you are unhappy with your appearance or performance, take a good look at your eating and see what you could change. There is no vitamin or "energy" supplement nearly as good as just eating a healthy diet, drinking plenty of water, and exercising regularly. This becomes even more important if you are a college student or at a job where you feel you are not as active as you used to be (or would like to be). See your dentist every six months for regular cleanings and exams. Wellness Visits Keeping your body on a fairly regular wake/sleep schedule (even on weekends) will help you get the sleep you need. Try not to save all of your "think time" or studying for bedtime — it often delays falling asleep. Sleep Always wear your seatbelt in the car and your helmet when biking or in- line skating. NO ONE thinks an accident will happen to them, and then it does. Wear sunscreen if you are outside. A great tan is not worth cancer. Take your body seriously. Make the decision not to smoke, take drugs, drink alcohol, or ride in a car with someone who has been drinking. Delay sex until you're truly emotionally ready for this step. It only takes one mistake to change your life forever. If you feel you have made a past mistake, remember that you can always re-contract with yourself and make a better decision from now on. If you have questions about sex, HIV, pregnancy, STDs, drugs, alcohol, or tobacco, please talk with another adult whom you trust and respect. If you live away from home and return for a visit, expect that your parents will still want to know where you are and who you're with (yes, they have their own adjustments to make regarding your independence at home!). Remember that driving is a privilege, not a right. You are an adult by law. More injuries occur in unorganized sports ("pick-up games" or "a quick jog") than ever before. Warm-up and stretch well before any exercise. Safety Continue to prioritize your demands — the ones you place on yourself as well as the ones others place on you. You will find that balancing all the parts of your life (including your free time) is the key. Try to talk to your family frequently, even if by phone. This can be a fabulous, and stressful, time. On one hand, increasing independence and decision-making power is great. On the other hand, stresses of school and money, lack of familiar support, and increasing responsibilities and uncertainty can take their toll. If you find yourself getting stressed out more than you feel you should or can reasonably handle, please talk to someone. A friend, parent, favorite professor or coach, counselor, or health care provider can offer support and help. Social, Family, & School Even though you are probably at your adult height, your weight and clothing size may still increase as your body continues to "proportion" itself and strengthen muscles and bones. This is normal. Your periods should be fairly regular (about once a month or so). It is recommended that all young women start having routine pelvic exams at age 18-21 (regardless of sexual history); your health care provider will then check your reproductive system more closely and start screening you for cervical cancer. It is also recommended that you start routine monthly breast exams. We will teach you how to do this. This is a good time to start making your own health appointments as you transition from adolescent to adult care. Be sure you have a copy of your health history (including vaccines) as you move away from home. We are happy to continue seeing you for the next few years if you choose, and we recommend another routine physical next year. Please call with any concerns you have about yourself. Growth Locations Chaska (952) 448-3847 Location & Hours Delano (763) 230-2780 Location & Hours Maple Grove (763) 324-8000 Location & Hours Minnetonka (952) 473-0211 Location & Hours Spring Park (952) 495-8910 Location & Hours Save time. Book online! Book Now

14, 15 years (male) Nutrition Try to eat 3 healthy meals a day. Your performance in school and other extra activities will respond to what you put into your body (good or bad). You need 3-4 foods a day high in calcium because your bones are approaching their peak growth and strengthening. Milk, yogurt, or calcium-fortified orange juice are good options. And don't forget the fiber — it is known to prevent illnesses such as cancer and diseases of the stomach. Your body does need more calories now than ever before, but try not to cheat it with the chips, fries, pop, and donuts. No one can deny that these "junk" foods taste great, but they can quickly replace what your body really does need and can lead to future weight problems. Try to limit these foods for special occasions. Also, try not to get into habits that will be tough to break later on, such as eating on the run or in front of the TV. Make a point to eat with your family at least once a day; as your life gets busier this may be the only time you actually see each other some days! If you are unhappy with your performance or appearance, take a good look at your eating and see what you could change. If you eat well, drink plenty of water, and exercise regularly, your body will look, grow and perform at its' best. If you are concerned about your size, please talk to your health care provider. Wellness Visits If you want your teeth and gums to be healthy your entire lifetime, take care of them now. Brush well 2-3 times a day and see your dentist 2 times a year. Teeth If you find that you need more sleep than you are getting, try to go to bed earlier instead of sleeping in; getting up late can alter your normal body rhythm and make you even more tired during the day and sleepless at night. Also, try not to save all of your "think time" for bedtime — it often delays falling asleep. Sleep Always wear your seatbelt in the car and your helmet when biking or in- line skating. We see permanent, life-changing injuries resulting from simple accidents, and NO ONE thought it would happen to them. Wear sunscreen if you are outside. A great tan is not worth cancer. Wear your life jacket if boating or near deep water, even if you swim well. Take your body seriously. Make the decision now not to smoke, take drugs, drink alcohol, or have sex. Practice what you would say if someone pressured you. It only takes one mistake to change your life forever. If you have questions about sex, HIV or AIDS, pregnancy, drugs, alcohol, or tobacco, please ask your mom or dad or your doctor or nurse practitioner. Introduce your friends to your family, negotiate your curfew times reasonably, and expect that your parents will want to know where you are. If you are in sports, make sure the playing areas are kept up well, and all protective equipment fits and is in good shape. Never share head gear. Remember that driving is a privilege to be taken seriously. Practice. And in case you didn't know, Minnesota State Law prohibits permit holders from using a cell phone while driving. Safety Your friends and school activities are important, but try to do a "family" event at least weekly, and sit and talk with your mom or dad a little every day. You may not always agree on things (such as grades, household jobs, curfew, or friends) but talking about your differences helps you understand each other better. You may find that you have special interests in school or in the community, and are starting to think about what you may be interested in doing in the future. This is also often the time of increasing interest in developing relationships with others. Family & School Many boys notice the body changes of "puberty" happening now (fast height growth, armpit and pubic hair, deepening voice, body odor, increased penis and testicle size, and acne). These changes can continue through high school. In regards to acne, the best treatment is staying healthy overall (eating well, drinking water, getting sleep and exercise). Wash your face and other acne-prone areas (back, chest) no more than 2-3 times a day with your hands and mild soap. Girls have usually experienced most of their body changes by now. All these changes can be exciting or embarrassing, so respect other people's privacy. If you have any questions about your health, body changes or sexuality, please ask your mom or dad or your health care provider here. There are also many good books. We look forward to seeing you again for a check-up next year! Growth Locations Chaska (952) 448-3847 Location & Hours Delano (763) 230-2780 Location & Hours Maple Grove (763) 324-8000 Location & Hours Minnetonka (952) 473-0211 Location & Hours Spring Park (952) 495-8910 Location & Hours Save time. Book online! Book Now

Newborn Nutrition After a brief period of weight loss, your baby will begin to gain approximately one ounce per day. Babies at this age get all their nutrition from breast milk or formula. Many babies spit up when they feed. If your baby spits up often, keep his or her head raised for at least 30 minutes after feeding. Spitting up small amounts is harmless as long as your baby is gaining weight and is not in pain. Spitting up usually ends by age six to nine months. After feeds, gently burp the baby by holding the baby on your chest, upright and gently patting or stroking the back. Do this for 2 to 5 minutes. Your baby may not burp after every feeding. Do not prop bottles in your baby’s mouth. Do not add cereal to your baby’s bottles. Do not give your baby extra water. Do not give your baby honey. Wellness Visits Breastfed babies should nurse on demand when he or she is showing hunger cues at least 8 to 12 times in 24 hours. If your baby is sleepy, you may have to undress him or her, tickle the feet or rub the back to wake him or her for feeds. Breast Feeding Make sure to always use iron-fortified formula. At first, give your baby 1-2 oz of prepared formula every 2 to 3 hours, which amounts to about 18-24 oz per day. As she grows and appetite increases, you will need to prepare largeramounts. If your baby doesn’t finish all the prepared bottle, you may refrigerate it and use it for the next feed. Do not mix this formula with new formula. Further, if the formula has been heated and has been out of the refrigerator for 1hour or more, discard it. Never heat a bottle in a microwave; if you wish to warm a bottle, a hot water bath is recommended. If you are thinking about switching brands of formula, talk to a doctor first. Formula Feeding Most infants sleep 12-20 hours a day in 2-4 hour stretches. Most babies are loud sleepers. Observe your baby’s noises to learn the difference between active sleep and real awakenings. Your baby may be signaling they are between sleep cycles rather than truly waking. Maximizing the difference between night and day (for example, dim vs. abundant light, hushed vs. normal noise) helps your newborn establish a circadian rhythm, though this may not occur right away. A supine position (“back to sleep”) is best for babies, including premature babies because it reduces the risk for SIDS (Sudden Infant Death Syndrome). Room sharing is recommended with the baby in a separate, but nearby sleep space. Bed sharing (sleeping in the same bed as the parents, another adult, or a child) is not recommended because it increases the risk of SIDS. Likewise, sleeping together on a non-bed surface, such as a sofa or chair places a baby at risk for entrapment, suffocation, and death. Sleep Stool frequency varies from one every feeding, to once a week or less. Bottle-fed infants' stools are usually soft and green or brown. Nursing infants have frequent, loose, watery, yellow stools. Apply a barrier cream such as Aquaphor between diaper changes to protect the skin from irritation. Elimination PLEASE MAKE EVERY RIDE A SAFE RIDE! Use an approved infant car seat, facing backward in the center back seat of the car until your infant is 2 years old. Check your hot water heater to be sure the water temperature is no hotter than 120 degrees F. Always be near your baby while he is in the bathtub. Never attach a pacifier around your baby's neck. If you feel your baby is crying a lot (not related to illness) and you are at your wit's end, put your baby in a safe place and take a break. Call a relative, friend, or the Parent Warmline (612-813-6336). If your frustration is increasing, call Crisis Connection (612-379-6363) or Minneapolis Crisis Nursery (763-591-0100). Never leave your child alone in a car for any reason, even briefly. Start developing habits that will help prevent you from ever forgetting your baby in the car. Consider putting an item that you need, like your purse, cell phone, or employee ID, in the back seat of the vehicle, so you will see your baby when you retrieve the item before leaving the car. Safety Welcoming an infant into your life is one of life's major stresses! Whether this baby is your first or fifth, the next few weeks will be a time of adjustment. Recognize this and give yourself the time, rest, and support needed to deal with the unexpected changes. It is normal for you to feel uncertain, overwhelmed, and very tired at times. Making sure to rest and sleep when the baby sleeps is one way to help you maintain your sense of well-being. Another is to let your partner and other family members participate in the care of the baby by holding, bathing, changing, dressing, and calming him. Siblings need to hold, touch, and feel close to the baby. Some siblings get overly excited and helpful but can also feel displaced and rejected. Negative behaviors are often directed toward mom or dad because they are the ones who are holding the new baby, saying "just a minute" or "don't do that!" and are also more tired than usual. It's common to see more temper tantrums, clingy behaviors, sleep disturbances and toileting regressions. Talk openly about how the older child feels and find some uninterrupted "special time" daily to spend alone with him or her. Family Adjustments All newborns receive an initial hearing and heart screen before being discharged from the hospital. If the hearing screen was not done yet or was failed, your baby will be referred to a hearing specialist for testing. The results from the newborn blood test collected in the hospital will be available around the time of your baby’s 2 week visit. Screening If you feel your baby is ill (for example, is more irritable or lethargic than usual, is not eating as much as usual, is coughing more than usual, etc.) or has a temperature over 100.4 degrees (always taken rectally at this age), call us right away. Your baby's next regular health care visit is at age TWO WEEKS. Please try to be at least 15 minutes early for all scheduled well-child visits. Enjoy your new adventure! Illness Locations Chaska (952) 448-3847 Location & Hours Delano (763) 230-2780 Location & Hours Maple Grove (763) 324-8000 Location & Hours Minnetonka (952) 473-0211 Location & Hours Spring Park (952) 495-8910 Location & Hours Save time. Book online! Book Now

Forms, helpful information, and more. Resources Billing & Insurance Pay your bill or review other billing and insurance information. View Forms View, download, and print forms prior to your appointment. View Simple Illness Care Remedies and treatments for common childhood illnesses. View Immunizations Review our lab and immunization schedule for your child. View Dosages Dosage calculator for acetaminophen and ibuprofen. View Newborns What to do after you take your newborn baby home. View Antibiotic Resistance Learn more about this issue and what you can do to help. View Feeding & Lactation Helpful information on nursing your baby. View Free & Local Resources A list of free and local resources for families. View Locations Chaska (952) 448-3847 Location & Hours Delano (763) 230-2780 Location & Hours Maple Grove (763) 324-8000 Location & Hours Minnetonka (952) 473-0211 Location & Hours Save time. Book online! Book Now Locations Chaska (952) 448-3847 Location & Hours Delano (763) 230-2780 Location & Hours Maple Grove (763) 324-8000 Location & Hours Minnetonka (952) 473-0211 Location & Hours Spring Park (952) 495-8910 Location & Hours Save time. Book online! Book Now

You have the right to receive a "Good Faith Estimate" explaining how much your medical care will cost. Under the law, health care providers need to give patients who don't have insurance or who are not using insurance an estimate of their bill for medical items and services. You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees. Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service. If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate. For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 1-800-985-3095. Your Right to a Good Faith Estimate Locations Chaska (952) 448-3847 Location & Hours Delano (763) 230-2780 Location & Hours Maple Grove (763) 324-8000 Location & Hours Minnetonka (952) 473-0211 Location & Hours Save time. Book online! Book Now Locations Chaska (952) 448-3847 Location & Hours Delano (763) 230-2780 Location & Hours Maple Grove (763) 324-8000 Location & Hours Minnetonka (952) 473-0211 Location & Hours Spring Park (952) 495-8910 Location & Hours Save time. Book online! Book Now

Tips for caring for common childhood illnesses. JUMP TO SECTION: Simple Illness Care Bug Bites Insect bites cause itchy, red bumps; some bites may be painful Mosquitoes breed in water. Eliminate standing water near your home Many bugs and mosquitoes are prevalent in woods and grassy areas Home Care Avoid scented soaps, perfume and hair spray (these attract insects) Wear light colored clothing covering most of the body Keep children indoors from dusk to dawn, which is when mosquitoes bite Insect repellent containing a concentration of 10% to 30% DEET appears to be safe for children over the age of 2 months. Insect repellant is not recommended for children under the age of 2 months Apply DEET sparingly to exposed skin and NOT under clothing Always wash DEET off skin with soap and water when returning indoors and wash treated clothing If the bite is itchy apply calamine lotion; If bit is very itchy apply 1% hydrocortisone Has an infected looking bite Has a bite that becomes very tender Has any other symptoms that are a concern Call Office if Child: Chickenpox Acute viral illness that is very contagious; exposure approximately 2 weeks ago to someone with chicken pox Can have a mild fever Generalized rash begins on the chest, back, underarms, neck, and face Rash begins as red bumps and develop a fluid filled center, blister, breaks open and small brown scab forms Rash will continue to develop over the next 4-5 days in crops When all sores have crusted over child is no longer contagious; generally takes 5-7 days Home Care Itching - baking soda baths (add ¼ cup of baking soda to the tub) or an oatmeal bath Benadryl Acetaminophen DO NOT GIVE IBUPROFEN or ASPIRIN Trim nails short to prevent infecting sores Offer soft foods, encourage fluids Has chicken pox sores that look infected Develops a speckled, red rash Is acting very sick Complains of eye pain Has Fever >105 or fever returns after going away for 24 hours Is < one month of age Has any new chicken pox after day 6 Has any other symptoms that are a concern Call Office if Child: Colds A viral infection of the nose and throat Most common symptoms include runny or congested nose, sore throat and cough Nasal drainage (even if viral) can vary in color from clear, to cloudy, yellow or green Typically the first symptom noted is a sore throat Healthy children average 6 colds a year Home Care Increase humidity in child's room if the air is dry (cool mist humidifier) or have child sit in steamy bathroom with shower running for 10-15 minutes For infants use bulb syringe to help remove nasal secretions from nose May use saline drops in nose to help with congestion at any age Encourage extra fluids Elevate head of bed or have child sleep with head on more pillows (avoid laying flat in bed) Multi-symptom cold medications not recommended No cold medication recommended under age 4 years May give fever reducers for fever as needed Has a fever that persists for more than 3 days or if > 105 F Pulling at ears/or complains of ear pain Has symptoms for 10–14 days Is not taking fluids well Is not sleeping well Is wheezing Has any other symptoms that are a concern Call Office if Child: Cough The sound made when the cough reflex expels air and secretions from the lungs A cough spasm is more than 5 minutes of continuous coughing Home Care Increase humidity in child's room if the air is dry (cool mist humidifier) or have child sit in a steamy bathroom with shower running for 10-15 minutes Elevate head of bed or have child sleep with head on pillows (avoid laying flat) Encourage fluid intake Warm fluids like apple juice may help Cough medication is not recommended for children under 4 years of age Sounding congested in the chest Is wheezing Seems to be working hard to breath Has a fever lasting for more than 3 days Has a cough lasting more than 2 weeks Has any other symptoms that are a concern Call Office if Child: Croup The narrowing of the air passage through the larynx (voice box) and the trachea (windpipe) Is most often caused by a virus Symptoms can occur suddenly, often at night Symptoms may come and go for 5-6 days getting better during the day and worse at night Harsh barky cough Retractions ("pulling in" of the chest or hollow of the neck with breathing) Home Care Run shower to steam up the bathroom, sit with your child 15-20 minutes to breathe in the warm moist air In cold weather wrap child up warmly and take outside to breath in cold air for about 10 minutes, or open the freezer door and have child breathe in cold air Cool mist humidifier in childs room at night may help Is breathing in cold air or steam for 10-15 minutes and it does not help Child is having retractions ("pulling in" of the chest or hollow of the neck with breathing) Is refusing to drink Is drooling Has any other symptoms that are a concern Call Office if Child: Diarrhea Noted to be a sudden increase in the number and looseness of stools (bowel movements) Typically caused by a virus Can last 5-14 days with the most severe diarrhea on days 1-2 Can be isolated or can also occur with vomiting Home Care Encourage to breast feed or give formula to infants as tolerated; avoid plain water Avoid fruit juices and other drinks high in sugar as these will make diarrhea worse If diarrhea is frequent and watery, pedialyte or another oral rehydration solution may be offered to help prevent dehydration (no longer than 12-24 hours) Encourage more starchy food--bananas, rice, applesauce, toast, noodles, crackers, etc. Yogurt can be helpful in restoring healthy bacteria into the stomach, offer plain or vanilla yogurt as tolerated Has signs of dehydration: no urine output noted for more than 8 hours, no tears with crying, very dry mouth, and increased drowsiness Has blood or mucous in stools Has fever persisting more than 3 days or if > 105 F Is having more than 8-10 episodes in a day Has severe stomach cramps that don't go away with the passage of the diarrhea stool Has any other symptoms that are a concern Call Office if Child: Earache/Ear Pain Pain or discomfort in or around the ear Usually due to an ear infection Ear infections peak at age 6 months to 2 years Onset of ear infections peak on day 3 of a cold Only way to know if ear infection present is to have ear examined Home Care May give fever/pain reducers as needed May apply either cold washcloth or local heat (warm washcloth, heating pad on low setting, hot water bottle) to outer ear for 20 minutes to reduce pain Ear drops not recommended until ear pain evaluated Has a fever that persists for more than 3 days or if >105 F Ear pain gets severe Drainage noted from ear Is not taking fluids well Is not sleeping well Pulling or tugging at ear Fussy or irritable Has some loss of hearing Has any other symptoms that are a concern Call Office if Child: Eye Discharge Yellow or green discharge from eye Home Care Place a wet warm wash cloth on the eye as needed Avoid wearing contact lenses Has continuous discharge from eye Has redness or puffiness around eye Has a fever or cold symptoms Is complaining of ear pain Has any other symptoms that are a concern Call Office if Child: Fever Is a symptom and not a disease Is the body's normal response to infections and plays a role in fighting them Fever is present > 100.4 F The height of the fever does not relate to the seriousness of the illness, the behavior of your child is the best indicator of the severity of the illness Fever causes no permanent harm until it reaches 107 F Home Care Encourage extra fluids Keep clothing to a minimum, do not bundle up Acetaminophen (Tylenol) or Ibuprofen (Motrin) may be given following the guidelines in Over the Counter Dosage Information AVOID aspirin in ALL children under the age of 21 years Is under 3 months of age and has a temp > 100.4 F rectally Has a fever > 105 F Is very irritable and unable to console Complains of stiff neck with a headache Has a fever persisting over 3 days Has any other symptoms that are a concern Call Office if Child: Hay Fever An allergic reaction of the nose and sinuses to an inhaled substance, usually pollen Clear nasal drainage with sneezing, sniffing and nasal itching Eyes may also itch and water or look pink No fever Noted to have had similar symptoms during same time of the previous year Most common pollens are grass, trees and ragweed Can also be caused by allergens from cats, dogs, horses, rabbits and other animals Home Care Give antihistamine continuously during the pollen season May use warm water or salt water nose drops to wash pollen out of the nose – put 2-3 drops in each nostril and then blow nose Shower and wash hair every night before bed Stay away from pollen and other things that may cause symptoms to develop or worsen Keep windows closed in the house and car Avoid playing outdoors on a windy days Wash eyes to clean away any pollen May apply cold washcloth to eyes/eyelids for 10 minutes Develops a fever Develops sinus pain or pressure Has congested sounding cough in chest Continues to have symptoms with no improvement noted after taking antihistamine continuously for >2 days Has any other symptoms that are a concern Call Office if Child: Poison Ivy A very itchy blistering rash caused by contact with the poison ivy plant Rash is shaped like streaks or lines Leaves, stems, roots and berries of these plants cause the rash More than 50% of people are sensitive to the oil of the poison ivy plant Onset 1-2 days after being in a forest or field; usually last two weeks Poison Ivy is not contagious to others but may be carried by pets Home Care If you think your child has come in contact with a poison ivy plant, wash the skin with soap and water as soon as possible The oil from the plant may be on pet"s fur or on shoes or clothes. Wash it off pets or clothes with soap and water Soak the involved area in cold water or massage with an ice cube for 20 minutes as often as necessary Apply 1% hydrocortisone cream 4 times a day to reduce itching If itching persists give Benadryl orally Has rash lasting longer than 3 weeks Looks infected Has severe itching Poison ivy on face, eyes, lips or genitals Rash covers more than ¼ of the body Has any other symptoms that are a concern Call Office if Child: Sore Throat Most sore throats are caused by viruses and are part of a cold (usually noted at the beginning of a cold) About 10% of sore throats are due to strep bacteria A rapid strep test or throat culture is the only way to distinguish strep throat from a viral sore throat Children that sleep with their mouth open often awaken with a dry mouth and a sore throat Home Care Acetaminophen (Tylenol) or Ibuprofen (Motrin) may be used for severe discomfort or fever Over 1 year of age: sip warm chicken broth or apple juice Over 4 years of age: suck on hard candy or lollipops Over 6 years of age: gargle with warm salt water (Mix ¼ tsp of salt per 8oz glass of water) Encourage extra fluids Offer a soft diet; easy to swallow foods Has a Fever lasting more than 3 days Has a sore throat lasts more than 2 days Seems dehydrated Is drooling Has any other symptoms that are a concern Call Office if Child: Stye An infection of the hair follicle of the eyelash Will look like a red bump at the base of the eyelash,(either upper or lower eyelid) Usually comes to a head and forms a pimple in 2-3 days Will usually drain in about 6 days but may last up to several weeks Will feel tender to touch Home Care Apply warm packs to the eye for 10 minutes 4 times a day Keep hands away from eye, as rubbing may cause more styes Do not try to open the stye yourself Eye lid becomes red and swollen Has a fever Stye comes to a head and has not drained after 3 days or has not completely healed by 10 days Stye comes back Has any other symptoms that are a concern Call Office if Child: Sunburn Burning, redness, or blistering of the skin caused by sun overexposure Can happen within 15 minutes of being in the sun Minor sunburn is a first degree burn which turns skin pink or red Prolonged sun exposure can cause blistering and a second degree burn Sunburn never causes a third degree burn or scarring Pain and swelling start at 4 hours, peaks at 24 hours, and improves after 48 hours Home Care Give child Ibuprofen Apply 1% hydrocortisone cream 3 times a day to sunburn Apply cool compresses to area several times a day Encourage child to drink extra water Leave closed blisters alone For broken blisters, trim skin with a fine scissors cleaned with rubbing alcohol For open blisters, apply over the counter antibiotic ointment Has a sunburn covering a large part of the body Is extremely painful or if blisters have formed Has a fever Feels faint or confused Has signs of dehydration Has symptoms of infection Has any other symptoms that are a concern Call Office if Child: Swimmer's Ear Infection or irritation of the skin that lines the ear canal Associated with swimming/water activities Ear canals can be itchy and somewhat painful; ear feels plugged Discomfort noted when earlobe is moved up and down Can have a slight amount of clear drainage from the ear Home Care May give pain reducers as needed May apply local heat (warm washcloth, heating pad on low setting, hot water bottle) to outer ear for 20 minutes to help with pain and drainage Reduce/avoid swimming until symptoms are improved Pain gets severe and / or symptoms last more than 3 days Has any other symptoms that are a concern Call Office if Child: Swimmer's Itch Skin rash caused by an allergic reaction to certain parasites that normally live on water fowl and freshwater snails Occurs typically in calm freshwater lakes and ponds Parasites burrow into the skin causing symptoms of burning, tingling or itching Parasites are unable to live off humans so they soon die Usually only affects exposed skin (skin not covered by swimsuits, waders, wetsuits) Rash may appear up to 48 hours after swimming in infected water and clears up on its own within a few days Swimming or wading frequently in contaminated water can lead to more intense and immediate symptoms Sometimes itching without a rash is the only symptom Itching at rash too much may lead to secondary bacterial infection Home Care Rinse skin immediately after swimming and then vigorously dry skin with a towel Launder swimsuits after Apply cool compresses to affected areas Soak in a bath with baking soda or oatmeal Stir water into baking soda until it makes a paste and then apply to affected areas Use over the counter antihistamine or anti-itch creams as directed by label on product Avoid swimming in areas where swimmer's itch is a known problem If itching not relieved by over the counter medications Develops signs of infection due to itching (ie increased redness, fever, drainage at site) If symptoms last more than one week Has any other symptoms that are a concern Call Office if Child: Vomiting Is the forceful emptying of the stomach contents (throwing up) Spitting up is the effortless regurgitation of one to two mouthfuls of stomach contents Vomiting usually stops in 12 – 24 hours Dehydration (getting dried out) can be dangerous, but is unlikely in the first 12 hours of vomiting Home Care If no vomiting has occurred for at least ½ hour begin to offer clear liquids (for younger children pedialyte, for older children flat 7-up, Gatorade freeze pops, chicken broth); begin with ½ oz every 15 minutes; if no vomiting after 1 hour begin to double the amount of fluid every other time. If vomiting occurs again wait ½ hour and begin offering ½ oz of clear liquid Once the child is able to drink a normal amount of fluid without vomiting (usually 12-24 hours of clear liquids) ok to begin solid foods ie: toast, crackers, and rice Help your child go to sleep; sleep will often help empty the stomach and relieves the need to vomit Has signs of dehydration (no urine output for over 8 hours, dry mouth, no tears when crying) Has blood in the vomited material Starts to act very sick Has abdominal pain lasting over 12 hours Has vomiting over 24 hours Is under 12 weeks of age and has vomited more than 2 times Seems confused or difficult to arouse Has ingested any TOXIC material call the poison center 1-800-222-1222 Has any other symptoms that are a concern Call Office if Child: Locations Chaska (952) 448-3847 Location & Hours Delano (763) 230-2780 Location & Hours Maple Grove (763) 324-8000 Location & Hours Minnetonka (952) 473-0211 Location & Hours Save time. Book online! Book Now Locations Chaska (952) 448-3847 Location & Hours Delano (763) 230-2780 Location & Hours Maple Grove (763) 324-8000 Location & Hours Minnetonka (952) 473-0211 Location & Hours Spring Park (952) 495-8910 Location & Hours Save time. Book online! Book Now

12, 13 years (male) Nutrition Try to eat 3 healthy meals a day and limit the "junk" so your body can do its' best work (in school, sports, etc.). Your need for calcium increases to 3-4 servings a day (more than the Food Pyramid suggests) because your bones are soon going to be at their peak of strengthening and growth. Milk, yogurt, or calcium-fortified orange juice are good choices. You will probably find that you are now eating more than you used to of all foods as your body has a growth spurt. Your eating habits now will always pay you back later, for better or worse. Many adults wish they had known to eat better when they were younger. Some illnesses could have been prevented by eating more fiber (fruits, vegetables, breads, cereals). Try not to get into habits that will be tough to break, such as eating on the run or in front of the TV. And as your life gets busier, try to eat with your family once a day. If you are unhappy with your body's appearance or performance, take a good look at your eating and see what you could change. If you eat well, drink plenty of water, and exercise regularly, your body will naturally grow at its' own pace. If you are concerned about your size, please talk to your health care provider. Wellness Visits If you want your teeth and gums to be healthy your entire lifetime, take care of them now. Brush well 2-3 times a day and see your dentist 2 times a year. Teeth Your sleep needs may increase as your growth increases. Try to go to bed earlier instead of sleeping in; getting up late can alter your normal body rhythm and make you even more tired during the day and sleepless at night. Also, try not to save all of your "think time" for bedtime — it often delays falling asleep. Sleep Always wear your seatbelt in the car and your helmet when biking or in- line skating, even if no one else does. We see permanent, life-changing injuries resulting from simple accidents, and NO ONE thought it would happen to them. Wear sunscreen if you are outside. A good tan is not worth cancer. Wear your life jacket if boating or near deep water, even if you swim well. Never take medicine (including vitamins) without knowing your dose. Evaluate what it will take to give your body the best. Make the decision now not to smoke, take drugs, drink alcohol, or have sex. Practice what you would say if someone pressured you. It only takes one mistake to change your life forever. If you have questions about sex, HIV or AIDS, drugs, alcohol, or tobacco, please ask your mom or dad or your doctor or nurse practitioner. Introduce your friends to your family, negotiate your curfew times reasonably, and expect that your parents will want to know where you are. If you are in sports, make sure the playing areas are kept up well, and all protective equipment fits and is in good shape. Never share head gear. Safety Your friends and school activities are important, but try to participate in a "family" event at least once a week, and sit and talk with your mom or dad a little every day. You may not always agree on things (such as household jobs, curfew, or friends) but talking about your differences helps you respect and understand each other better. And remember to take some "free time" just for yourself every day. Family Many boys start to notice the body changes of "puberty" happening now (they can start anywhere between ages 10-16). These include fast height growth, armpit and pubic hair, deepening voice, body odor, increased penis and testicle size, acne, and interest in girls. Puberty changes can continue for years (many boys even have changes after high school). In regards to acne, the best prevention and treatment is staying healthy on the inside (eating well, drinking water, getting sleep and exercise). Wash your face and other acne-prone areas (back, chest) no more than 2-3 times a day with your hands and mild soap. Girls usually have noticed many body changes by now and are often taller than boys at this age. Body changes can be exciting or embarrassing, so respect other people's privacy. If you have any questions or concerns about your health, body changes or sexuality, please ask your mom or dad or your health care provider here. There are also many good books available on these topics. We look forward to seeing you again for a check-up next year! Growth Locations Chaska (952) 448-3847 Location & Hours Delano (763) 230-2780 Location & Hours Maple Grove (763) 324-8000 Location & Hours Minnetonka (952) 473-0211 Location & Hours Spring Park (952) 495-8910 Location & Hours Save time. Book online! Book Now

We are working on being able to provide the COVID-19 vaccine and boosters for our patients during regular visits. COVID-19 Vaccine Update We are working on being able to provide the COVID-19 vaccine and boosters for our patients during regular visits. Please visit our COVID-19 page for updates. Please do not call us to inquire about the status. Our COVID-19 page is updated regularly, and you will find information there when available. Thank you for your cooperation. Locations Chaska (952) 448-3847 Location & Hours Delano (763) 230-2780 Location & Hours Maple Grove (763) 324-8000 Location & Hours Minnetonka (952) 473-0211 Location & Hours Save time. Book online! Book Now Locations Chaska (952) 448-3847 Location & Hours Delano (763) 230-2780 Location & Hours Maple Grove (763) 324-8000 Location & Hours Minnetonka (952) 473-0211 Location & Hours Spring Park (952) 495-8910 Location & Hours Save time. Book online! Book Now

2 weeks Nutrition Offer breast milk or formula only. Most babies will nurse every 2 to 4 hours, or take 18 to 24 ounces of prepared formula per day. No solid foods are recommended at this time. Feedings usually take 20-30 minutes. After a brief period of weight loss, your baby will begin to gain weight steadily (approximately one ounce per day). Your baby's appetite may vary, just as yours does, and will depend on many factors (including growth rate and activity level). The American Academy of Pediatrics recommends that breastfeeding babies (and any baby taking less than 17 ounces of formula per day) start a daily over-the-counter liquid multi-vitamin containing at least 200 I.U. (units) of Vitamin D per dose. There are several commercial brands available. Also, if you have well water that you will be using at home, we recommend having it tested for fluoride content. Please ask us for information on testing. A fluoride supplement, if necessary, begins at 6 months. Wellness Visits Sleep patterns vary greatly among infants. Most sleep 12-20 hours a day in 3-5 hour stretches. It is recommended to place infants on their backs for sleep. Sleep Stool frequency varies from one every feeding, to once a week or less. Bottle-fed infants' stools are usually soft, green or brown. Nursing infants have frequent, loose, watery, yellow stools. Elimination PLEASE MAKE EVERY RIDE A SAFE RIDE! Use an approved infant car seat, facing backward in the center back seat of the car until your infant is 20 pounds and 1 year of age. Check your hot water heater to be sure the water temperature is no hotter than 120 degrees F. Always be near your baby while she is in the bathtub. Never attach a pacifier around your baby's neck. To warm refrigerated breast milk or newly-made formula, place the bag or bottle in a bowl of warm water. If you warm formula in a microwave oven, always test the temperature of the liquid before feeding your infant. Containers may remain cool while the liquid becomes dangerously hot. Serious burns have resulted. If you feel your baby is crying a lot (not related to illness) and you are at your wit's end, put your baby in a safe place and take a break. Call a relative, friend, or the Parent Warmline (612-813-6336). If your frustration is increasing, call Crisis Connection (612-379-6363) or Minneapolis Crisis Nursery (763-591-0100). Two-week-old babies can accidentally flip themselves over while on a flat surface or flip out of an infant seat. To guard against falls, never leave your baby unattended while on a changing table, sofa, etc. If your baby is in an infant seat, place the seat on the floor and secure the safety strap. Safety Welcoming an infant into your life is considered one of life's major stresses! Whether this baby is your first or fifth, the next few weeks will be a time of adjustment. We encourage you to recognize this and give yourself the time, rest, and support needed to deal with the unexpected changes. Siblings need to hold, touch, and feel close to the baby. Some siblings get overly excited and helpful, but can also feel displaced and rejected. The way in which they respond will depend on their temperaments. Negative behaviors are often directed toward mom or dad because they are the ones who are holding the new baby, saying "just a minute" or "don't do that!" and are also more tired than usual. It's common to see more sibling temper tantrums, clingy behaviors, sleep disturbances and toileting regressions. It helps to talk openly about how the older child feels, and to find some uninterrupted "special time" daily to spend alone with him or her. It is also important that you continue to maintain your limits. Pets often experience adjustment time, too! Family Adjustments If you feel your baby is ill (is more irritable or lethargic than usual, is not eating as much as usual, is coughing more than usual, etc.) or has a temperature over 100.4 degrees (always taken rectally at this age), call us right away. Your baby's next health care visit is at age TWO MONTHS. By that time she will probably be smiling, cooing, and much more interested in her environment. We ask that you review the printed information about the Diphtheria-Tetanus-acellular Pertussis (DTaP), Haemophilus influenzae type B (Hib), Polio (IPV), Pneumococcal Conjugate (PCV7), Hepatitis B (HBV) and oral Rotavirus vaccinations. Please try to be at least 10 minutes early for all scheduled well-child visits. Enjoy your new adventure! Illness Locations Chaska (952) 448-3847 Location & Hours Delano (763) 230-2780 Location & Hours Maple Grove (763) 324-8000 Location & Hours Minnetonka (952) 473-0211 Location & Hours Spring Park (952) 495-8910 Location & Hours Save time. Book online! Book Now

16, 17 years (female) Nutrition Try to eat 3 healthy meals a day and make this a habit for life. Your performance in school and other activities and your ability to finish growing and heal yourself will depend on the foods you put into your body. You need 3-4 foods a day high in calcium (milk, yogurt, calcium-fortified orange juice) to support the completion of your bone growth and continued bone strengthening. Also, 2-3 iron-rich foods (iron-fortified cereal, meat, eggs, or green leafy vegetables) a day are recommended to support your blood. Fiber is known to prevent stomach and colon illnesses (such as cancer) and heart disease. By reading food labels and planning ahead you will have more control over your diet. "Junk" foods taste great but can deprive your body of what it really needs and can put on excess weight. Try not to get into eating habits that will be tough to break later on, including eating on the run or in front of the TV. Make a point to eat with your family at least once a day. It's a good time to get together on otherwise busy days. If you are unhappy with your appearance or performance, take a good look at your eating and see what you could change. If you eat well, drink plenty of water, and exercise regularly, your body will look, grow and perform at its' best. If you are concerned about your size or growth, please talk to your health care provider. Wellness Visits If you find that you need more sleep than you are getting, try to go to bed earlier instead of sleeping in; getting up late can alter your normal body rhythm and make you even more tired during the day and sleepless at night. Also, try not to save all of your "think time" for bedtime — it often delays falling asleep. Sleep Always wear your seatbelt and helmet (when biking or in-line skating), even if no one else does. We see permanent, life-changing injuries resulting from simple accidents, and NO ONE thought it would happen to them. Wear sunscreen if you are outside. A great tan is not worth cancer. Take your body seriously. Make the decision not to smoke, take drugs, drink alcohol, or ride in a car with someone who has been drinking. Practice what you would say if someone pressured you. Delay sex until you are truly emotionally ready for this step. It only takes one mistake to change your life forever. If you feel you have made a past mistake, remember that you can always re-contract with yourself and make a better decision from now on. If you have questions about sex, HIV or AIDS, pregnancy, sexually transmitted diseases, drugs, alcohol, or tobacco, please ask your mom, dad, or doctor or nurse practitioner. Introduce your friends to your family, negotiate your curfew times reasonably, and expect that your parents will want to know where you are (yes, they are still responsible for you). Earn respect and trust by demon-strating that you are responsible and deserving of the privileges you want. Remember that driving is a privilege, not a right. Take this seriously. And in case you didn't know, Minnesota State Law prohibits all drivers under age 18 from using a cell phone while driving. If you are in sports, make sure the playing areas are kept up well, and all protective equipment fits and is in good shape. Never share head gear. Safety Most teenagers are developing longer-lasting and more personal relationships with others. It is often difficult to balance friends, school, extra activities and family. Prioritize the demands on you, and try to sit and talk with your mom or dad a little every day. You may not always agree on things, but talking about your differences will help you understand each other better. This age can also be a stressful time for teenagers. They can feel the pressure to look for the right college, hang out with the right people, dress in the latest styles, get better grades, get a part-time job, or develop individuality. The future can be an exciting, and scary, thought. If you are finding yourself getting stressed out more than you feel you should or can reasonably handle, please talk to someone. A friend, parent, favorite teacher or coach, counselor, or health care provider can offer support. Social, Family, & School Most young women have completed their "puberty" development by now and are at their adult height. Weight and clothing size will still increase as the body continues to "proportion" itself and strengthen muscles and bones. This is normal. It still may take a few years for periods to become regular. The guys, however, will probably notice body changes for years. Continue to respect other people's privacy. If you have questions or concerns about your health, body changes or sexuality, please ask your mom or dad or your health care provider here. We look forward to seeing you again for a check-up next year! Growth Locations Chaska (952) 448-3847 Location & Hours Delano (763) 230-2780 Location & Hours Maple Grove (763) 324-8000 Location & Hours Minnetonka (952) 473-0211 Location & Hours Spring Park (952) 495-8910 Location & Hours Save time. Book online! Book Now

Thank you to our patient families who voted for our Minnetonka clinic. Thank You! A million thank yous to our patient families who voted for our Minnetonka clinic! For the past 8 years, you've voted for us being the best pediatric clinic in Lake Minnetonka magazine! We consider it a great honor to take care of your children. Locations Chaska (952) 448-3847 Location & Hours Delano (763) 230-2780 Location & Hours Maple Grove (763) 324-8000 Location & Hours Minnetonka (952) 473-0211 Location & Hours Save time. Book online! Book Now Locations Chaska (952) 448-3847 Location & Hours Delano (763) 230-2780 Location & Hours Maple Grove (763) 324-8000 Location & Hours Minnetonka (952) 473-0211 Location & Hours Spring Park (952) 495-8910 Location & Hours Save time. Book online! Book Now

Wellness Visits This page coming soon. Locations Chaska (952) 448-3847 Location & Hours Delano (763) 230-2780 Location & Hours Maple Grove (763) 324-8000 Location & Hours Minnetonka (952) 473-0211 Location & Hours Save time. Book online! Book Now Locations Chaska (952) 448-3847 Location & Hours Delano (763) 230-2780 Location & Hours Maple Grove (763) 324-8000 Location & Hours Minnetonka (952) 473-0211 Location & Hours Spring Park (952) 495-8910 Location & Hours Save time. Book online! Book Now