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Newsymail 2000


Date: Mon, 3 Jan 2000 07:13:06 -0600

Babies cry 3+ hours a day no matter what. Colic is that fussiness in the evenings for 2-3 hours. It is not from gas. I think it is cramps. If severe we can call out Levsin to ease the cramps. They pass gas 24 hours a day and the colic is just in the evenings. So it isn't gas and burping more will not help. If they cry all day and all night, that is not colic....( thats hell on earth) something is wrong and call the Doctor. We usually try a different formula but that rarely helps. They are just crampy in the evenings for a few months. Isn't parenting FUN???

Dr. Knapp

PS: Now that you realize how terribly difficult it is to raise children, you need to write a letter (old fashion kind... not email) to your Mom &or Dad and tell them how much you appreciate the effort they went through to raise you. The self sacrifice, the worry, and the heart ache is un-measurable. But it is worth it. Write them today.

Date: Tue, 11 Jan 2000 01:42:16 -0600

Nothing worse than vomiting &/or diarrhea. We don't treat diarrhea in 0-10yrs old because it causes worse problems. Just chase it with fluids like Pedialyte or Gatoraid. We can treat the vomiting with prescription suppositories. They almost never dehydrate unless they have both Vomiting and Diarrhea. Bring them in if they have both V. and D., fever over 102, or blood in the stool. There is a viral stomach flu every year during the next 2 months... so watch out.

Dr. Knapp

Date: Sun, 16 Jan 2000 23:34:30 -0600

Babies will occasionally cross their eyes for 6 months. Take a picture... it is cute. If they are crosses more of the day than straight, see the Doc. If a small light is shined at their eyes, it should reflect off the same area of the pupil in both eyes:

If it is = ( o ) ( o ) then it is correct.

If it is = ( o) ( o ) then there is trouble.

If the "red eye" from taking a picture of your baby is not in both eyes, see the Doc. If one pupil is grey or white(cancer).. see the Doc now! If one colored cornea is larger than the other (glaucoma)... see the Doc.. Of course the eye color is blue grey for months. If they are going to be brown, it will turn brown by 6

months. Blue vs. Green one cannot tell until school age. And yes two brown or green can have a blue eyed child. ;>)

Dr. Knapp

Date: Mon, 24 Jan 2000 06:55:40 -0600

Food allergies are in 2-7% of people. Symptoms are hives, runny nose, sneezing, wheezing, vomiting, diarrhea, throat or lip swelling, and occasionally anaphylaxis. Anaphylaxis is low blood pressure, fainting, and even death; and is caused by reactions to peanuts, tree nuts, seafood, milk, eggs. The most common is peanuts. (That is why some airlines stop giving them) There are also allergies to fish and celery. Yes celery one would not think of it but it cross reacts with pollens 40% of the time. Also beef allergies are more common than thought. (Boo. Now I cant eat Steak!!!) Some think that the allergy testing and desensitizing shots help but Im not sold on them. Watch your diet and watch for symptoms. And you can develop these allergies at any age after taking them for many years. I wish I was allergic to taking out the trash.

Dr. Knapp

Date: Sun, 30 Jan 2000 23:45:46 -0600

How to help your child with homework: Get to know your child's teacher. Attend school events, such as parent-teacher conferences, to meet your child's teacher. Ask about his or her homework policy and how you should be involved. Set up a homework-friendly area. Make sure your child has a well-lit place to complete homework. Place supplies - paper, pencils, glue, scissors - within reach. Schedule a regular study time. Some children work best in the afternoon, following a snack and play period; others may prefer to wait until after dinner.

Keep the distractions to a minimum. This means no television, no loud music, and no phone calls. (Occasionally, though, a phone call to a classmate about an assignment could prove helpful.) Make sure your child does his own work. Children will not learn if they don't think for themselves and make their own mistakes. Parents can make suggestions and help children with directions. Your child's job is to do the learning. Set a good homework example. Does your child see you reading the newspaper, writing letters, or reading a book? Children are more likely to follow their parents' examples than their advice. Praise his work. Stick his math assignment or art project on the refrigerator. Mention his achievements in science to relatives. You help their self esteem by bragging to others in front of them. They also now have to live up to the reputation you set. Have an understanding that if you find out they did not do an assignment, then do it the next Sat morning... they will have to do it eventually. Might as well do it when due and get credit.

Dr. Knapp

Date: Sun, 6 Feb 2000 12:04:52 -0600

A sun sensitive rash caused by the sun reacting with chemicals on the surface of the skin, not internally. There are rare diseases that have a sun exposure rash but this is discussing chemicals on top of the skin that can cause this rash. It only occurs where the skin is exposed to sunlight and where the chemical is on the skin. For example, it can be only around the mouth since the food product is on the skin around the mouth. Some of the things causing this reaction: limes, lemons, celery, natural grasses, carrots, oranges, parsley, parsnips, sagebrush, goldenrod, chrysanthemum, ragweed, cocklebur, tobacco, figs, garlic, hot peppers, hyacinth and daffodil bulbs, and certain types of soaps leaving a residue on the skin. It is diagnosed by leaving some skin without it and some with it and watching the difference after sunlight exposure.

Dr. Knapp

Date: Sun, 13 Feb 2000 22:47:42 -0600

Daily or weekly rituals are very important to children of any age. They look forward to it and feel security in their lives and safety. Examples:

Family movie night

Walking the dogs after supper

Reading aloud at bedtime

Going to church every Sunday

Game night where we play board games.

Buy candy or drink on the way home from school.

These are what they will remember after we are dead. Not the fact that we bought things for them or did their clothes. It is time spent.

The boy came in to the house all dirty. The dad asked what he had been doing and the boy replied "working on the car with grandpa." The Dad asked what grandpa paid him to work on the car. The boy replied "He paid me attention."

Dr. Knapp

Date: Sun, 20 Feb 2000 22:45:06 -0600

At the beginning of the century, the typical American life expectancy at birth was 47 years; now it's 76. Since 1970, life expectancy at birth has jumped from 55 to 64 years in the developing world, while infant mortality has declined by half. Antibiotics, vaccines, water purification improvements, and the agricultural yield necessary for secure nutrition have been key factors in the decline of death rates. The late economist Julian Simon delighted in showing a chart of human life expectancy; the figure stayed level at an average of 30 years essentially from prehistory until the beginning of the 20th century, when it blasted off like a moon rocket. Simon, who was denied his own 77 years, called greater life expectancy "the most important achievement in human history."

Dr. Knapp

Date: Sun, 27 Feb 2000 23:42:37 -0600

15% portrayed substance abuse by characters who appeared younger that 18 years old in movies. Of the main characters who appeared to be minors, 8% used illicit drugs, 17% smoked, 22% drank alcohol and 4% used other substances. Tobacco was used in 79% of G or PG, 82% of PG-13, and 92% of r-rated movies. Alcohol was used in 76% of G or PG, 97% of GP-13, and 94% of R-rated movies. Illegal drug use was portrayed in a humorous context in 26% of

movies. Fewer than 15% of young characters who smoked marijuana or cigarettes experienced any apparent consequences of their use. Illicit drugs appeared in 18% of the songs, alcohol in 17%, and tobacco in 3%. Substances appeared in 75% of rap songs, 20% of hot-100 , and 20% of alternative rock, 14% of country-western and 12% of heavy metal songs. Yes it has an effect! Dr. Knapp

Date: Sun, 5 Mar 2000 22:56:03 -0600

Twenty-Five Ways to Spot Quacks and Vitamin Pushers (see:


1. When Talking about Nutrients, They Tell Only Part of the Story.

2. They Claim That Most Americans Are Poorly Nourished.

3. They Recommend "Nutrition Insurance" for Everyone.

4. They Say That Most Diseases Are Due to Faulty Diet and Can Be Treated with "Nutritional" Methods.

5. They Allege That Modern Processing Methods and Storage Remove all Nutritive Value from Our Food.

6. They Claim That Diet Is a Major Factor in Behavior.

7. They Claim That Fluoridation Is Dangerous.

8. They Claim That Soil Depletion and the Use of Pesticides and "Chemical" Fertilizers Result in Food That Is Less Safe and Less Nourishing.

9. They Claim You Are in Danger of Being "Poisoned" by Ordinary Food Additives and Preservatives.

10. They Charge That the Recommended Dietary Allowances (RDAs) Have Been Set Too Low.

11. They Claim That under Stress, and in Certain Diseases, Your Need for Nutrients Is Increased.

12. They Recommend "Supplements" and "Health Foods" for Everyone.

13. They Claim That "Natural" Vitamins are Better than "Synthetic" Ones.

14. They Suggest That a Questionnaire Can Be Used to Indicate Whether You Need Dietary Supplements.

15. They Say It Is Easy to Lose Weight.

16. They Promise Quick, Dramatic, Miraculous Results.

17. They Routinely Sell Vitamins and Other "Dietary Supplements" as Part of Their Practice.

18. They Use Disclaimers Couched in Pseudomedical Jargon.

19. They Use Anecdotes and Testimonials to Support Their Claims.

20. They Claim That Sugar Is a Deadly Poison.

21. They Display Credentials Not Recognized by Responsible Scientists or Educators.

22. They Offer to Determine Your Body's Nutritional State with a Laboratory Test or a Questionnaire.

23. They Claim They Are Being Persecuted by Orthodox Medicine and That Their Work Is Being Suppressed Because It's Controversial.

24. They Warn You Not to Trust Your Doctor.

25. They Encourage Patients to Lend Political Support to Their Treatment Methods.

Date: Sun, 12 Mar 2000 23:07:41 -0600

Pink eye is just what is sounds like. The white of the eye is bloodshot and there is green/yellow pus coming out of the eye every few hours all day. But sinus allergies and infections can cause the eye to have a little green mucous in the corner 3 times a day and the white of the eye is not red. That is a "cold in the eye" as grandma would say. That does not need drops in the eyes. It needs the sinuses treated with antihistamines &/or antibiotics. If there is green yuck in the corner of the eyes and out the nose... half of the small children will have ear infections with it. Watch for irritable child and night crying.

Dr. Knapp

Date: Mon, 20 Mar 2000 10:54:37 -0600

Here are the basic poison prevention tips that every person should check during National Poison Prevention Week:

1. Use child-resistant packaging properly by closing the container securely after use.

2. Keep all chemicals and medicines locked up and out of sight.

3. Call the poison center immediately in case of poisoning. Keep on hand a bottle of "syrup of ipecac" but use it only if the poison center instructs you to induce vomiting.

4. When products are in use, never let young children out of your sight, even if you must take them along when answering the phone or doorbell.

5. Keep items in original containers.

6. Leave the original labels on all products, and read the label before using.

7. Do not put decorative lamps and candles that contain lamp oil where children can reach them.

8. Always leave the light on when giving or taking medicine. Check the dosage every time.

9. Avoid taking medicine in front of children. Refer to medicine as "medicine," not "candy."

10. Clean out the medicine cabinet periodically and safely dispose of unneeded and outdated medicines.

Dr. Knapp

Date: Mon, 27 Mar 2000 10:57:43 -0600

Spring and bug season. Repellants and OK but 10% deet or less are found in "Repel, Skeedaddle, and Off Skintastic for kids". Also Permethrin in the 0.5% aerosol form used on clothing (not skin) helps against ticks. Soybean Oil called Bite Blocker also is supposed to be effective and safe. Others with citronella do NOT work good are Skin-so-soft, Nutrapel, and Buzz Away. The combinations of sunscreen and repellants are not good because the deet degrades the sunscreen and the sunscreen is applied repeatedly and not the deet. Careful of the small infants. They burn in the shade from indirect light. (Not wind burn.) Keeping them covered with lite weight long sleeve and pants is better than chemicals. Have a sunny spring.

Dr. Knapp

Date: Wed, 5 Apr 2000 13:58:48 -0500

Night terrors are where the child begins screaming in their sleep and really are not awake. They do not realize that you came into the room. The parent wakes them up and then puts them back to sleep. It occurs in 2% of children from 1 to 15 years old. I have never seen it past 4 years. It is not related to emotional disorders, or night mares. It is a type of sleep disorder like sleep waking or talking, bed wetting, and grinding teeth, and there is a higher incidence in families with these problems. One author recommended waking the child up about half an hour after falling asleep and then put them back to sleep. (Oh - Right!) Do this up to one week and it will usually stops the terrors for awhile. Then repeat if they recur at a later date. Well it is worth a try.

Dr. Knapp

Date: Mon, 10 Apr 2000 10:55:42 -0500

Researchers found a higher incidence of Pneumocystis carinii in infants lungs who died of SIDS. This germ has been typically found in infected lungs of people who were immune deficient for any reason. It turns out that 94% of normal children have antibodies to it by 4 years of age. In a study from Chili of 534 normal children dying of SIDS, 25% had P. carinii while similar infants dying of other causes had 2.9%. A second study found 14% verses 2.9%. It should be interesting if this is one of the many causes of crib death. This can be treated with Septra antibiotic. Until this is studied more, keep sleeping infants on their backs. (Until they can roll over!)

Dr. Knapp

Date: Mon, 17 Apr 2000 10:55:02 -0500

The eyes of newborns can have cataracts. We test them by looking for the "red reflex" which is the red eye when you take pictures. If we cannot see it then we refer them to see Eye doctor. If the cataracts are not removed in the first month of life, then they can be permanently blind. Thank goodness it is extremely rare. Watch for it when you take pictures of your infant. If it is not present in older children in one eye, it may be that their eyes are not lined up straight and have lazy eye. Crossing is common the first 2 months and rare the next 4 months. Any crossing after 6 months is trouble; until they can cross them on purpose at school age.

Dr. Knapp

Date: Mon, 24 Apr 2000 00:01:15 -0500

Sensorineural hearing impairment (SNHI) is not a rare disorder. In fact the incidence of significant SNHI is approximately 1 per 1,000 births. The etiology of SNHI is genetically based in approximately half (40-60%) of pediatric cases. Furthermore, about one in eight people are carriers of an autosomal recessive form of hearing impairment.

The type of audiology evaluation conducted depends on the age of the child and ability of the child to cooperate. (birth to 5 months), hearing is best assessed by Brain Stem Auditory Evoked Response (BAER). Behavioral Sound Field Audiometry is recommended for evaluating the hearing of from 6 months to 3 years of age. Children over three years old can be tested using earphones.

Children with slight hearing loss (15 - 25 dB) usually hear vowel sounds clearly but may miss consonant sounds. This may lead to mild auditory and language dysfunction. Mild hearing loss (25 - 40 dB) makes it difficult for the child to hear louder-voiced sounds. Auditory dysfunction, language delay, and speech problems are common. Children with moderate hearing loss (40 - 65 dB) miss most conversational level speech sounds. In this case, speech problems, language delay, learning problems, and inattention are usually present. Hearing loss of 65 - 95 dB is considered a severe hearing loss. Children with severe hearing loss hear no speech sounds at conversational level. These children always have severe speech problems, language delay, learning problems, and inattention. Profound hearing loss, greater than 95 dB, results in all of the above problems since the children hear no speech or other sounds. The term "deaf" is usually used to describe a child whose threshold for hearing speech sounds is 80 dB. The possible etiologies of SNHI are: Hereditary=40%, Meningitis, Neonatal Intensive Care Unit (NICU) graduates, Congenital infections , Ototoxic drugs, Down syndrome Early detection of hearing impairment is imperative. Unfortunately, the average age at which moderate to severe SNHI is detected is 23 months. Ideally, one would like to make the diagnosis at birth, hence the promotion of Universal Newborn Hearing Screening Programs.

Dr. Knapp

Date: Mon, 1 May 2000 18:19:27 -0500

Two infants born with life threatening immune system disorder that forced them to live in Bubbles. The were treated with experimental genetic therapy and now live active normal lives. If they continue to do well, they will be the first to be treated by gene therapy. This maybe controversial but it will definitely save lives. And if it was our children, we would be 100% for it.

Dr. Knapp

Date: Mon, 8 May 2000 22:53:50 -0500

Base ball pitching injuries. Recommended standards for less injuries to elbows.

Amount of pitching.

Age Max pitches/game Max games/week

8-10 52 +or- 15 2 +or- 0.6

11-12 68 +/- 18 same

13-14 76 +/- 16 same

15-16 91 +/- 16 same

17-18 106 +/- 16 same

Minimum age for learning pitches:

age +/- 2yr pitch

8 fastball

10 change-up

14 curveball

15 knuckleball

16 slider

16 forkball

17 screwball

Dr. Knapp

Date: Sun, 14 May 2000 15:57:58 -0500

Children are not developmentally ready for formal swimming lessons until after their fourth birthday, states the American Academy of Pediatrics. Drowning is a leading cause of unintentional injury and death in the pediatric age group and highest among toddlers aged 1 to 2 years. In Arizona, California, Florida, and Texas, drowning is the leading cause of unintentional injury and death in this age group. While millions of infants and preschool children participate in aquatic programs, these should not be promoted as a way to decrease the risk of drowning. Water activities are fun and OK to do. We just do not want true swimming lessons. I do not recommend 9 month old "drownproofing" the infants. It is not their responsibility not to drown. It's ours! Infants below 1 year old can drop their body temperature quickly. Use care not to be in cold water for too long a time, and take their temp after swimming to be sure it does not go below 97. And use sun screen. Lets have a safe summer.

Dr. Knapp

Mon, 22 May 2000 18:35:51 -0500 (CDT)

Self esteem is helped not by what you say TO your child but what you say ABOUT your child to others in your child's listening distance. They hear every word. Do not say anything negative about your child in situations where they can hear... even if they are in the next room and can hear. Try to say good things about them to others where they hear. It is important to tell your child they are good, beautiful, etc. but it means more when you tell these things to others.

Dr. Knapp


Date: Wed, 31 May 2000 00:20:31 -0500

Summer means plants. Be careful about children ingesting plants and getting ill. Common Plants that you would not think of can cause death. They are the leaves and stems of potato, tomato, and rhubarb plants. House plants that are not poisonous are African violet, Fushias, Roses, Ficus and Spider plants. The local Poison control centers are: North Texas Poison Center, P.O. Box 35926, Dallas, TX 75235 Phone: 214-590-5000 Central Texas Poison Center Phone: (800)POISON1 Internet address to search for a plant information. is: http://chppm-ss1.apgea.army.mil/search/ Assume any plant is poisonous and if the child ingests a plant, give them Epicac from the drug store to make them vomit. Even if it is not poisonous, they will learn not to eat plants. Sounds mean but it is important they learn.

Dr. Knapp

Date: Sun, 4 Jun 2000 23:05:50 -0500

Illnesses associated with high environmental temperatures include heatstroke (hyperthermia = high temp), heat exhaustion, heat syncope, and heat cramps. Heatstroke is a medical emergency characterized by the rapid onset and increase (within minutes) of the core body temperature to >105 F, lethargy, disorientation, delirium, and coma. Heatstroke is often fatal despite rapidly lowering the body temperature (e.g., ice baths), because irreparable neurologic damage has occurred. Heat exhaustion is characterized by dizziness, weakness, or fatigue often following several days of sustained exposure to hot temperatures, and results from dehydration or electrolyte imbalance; treatment includes replacing fluids and electrolytes. Heat syncope and heat cramps are caused by physical exertion during hot weather and is caused by peripheral blood vessels dilating. Persons who lose consciousness because of heat syncope should be placed in a recumbent position with feet elevated and given fluid and electrolyte replacement. For heat cramps, physical exertion should be discontinued and fluids and electrolytes replaced. All persons are at risk for hyperthermia when exposed to a sustained period of excessive heat; however, factors that increase the risk for hyperthermia and heat-related death include age (e.g., the elderly), chronic health conditions, mental illness (e.g., schizophrenia), social circumstances (e.g., living alone), and other conditions that might interfere with the ability to care for oneself. Other risk factors are alcohol consumption, which may cause dehydration, previous heatstroke, physical exertion in exceptionally hot environments, the use of medications that interfere with the body's heat regulatory system, such as antipsychotics and major tranquilizers, and medications with anticholinergic effects (e.g., tricyclic antidepressants, antihistamines, some antiparkinsonian agents, and some over-the-counter sleep medication). Persons working in hot indoor or outdoor environments should take 10-14 days to acclimate to high temperatures. Although adequate salt intake is important, salt tablets are not recommended and can be hazardous to some persons. Although the use of fans may increase comfort at temperatures <90 F, fans are not protective against heatstroke when temperatures reach >90 F and humidity exceeds 35%. Parents should be educated about the heat sensitivity of children aged <5 years, and should never leave them unattended, especially in motor vehicles. When a heat wave is predicted, friends, relatives, neighbors, and caretakers should check frequently on elderly, disabled, mentally ill, chronically ill, and home-bound persons.

Date: Sun, 11 Jun 2000 21:58:58 -0500

Teen boys when they start puberty develop a breast bud. It is sore and gets to the size of a nickel or quarter. It is in one or both breasts and is located just below the nipple. This is normal and reassure them it will go away later. See the doctor if it gets bigger.

Dr. Knapp

Date: Wed, 28 Jun 2000 09:06:10 -0500

Poison Ivy cannot be spread like we used to think. It seems like it but what the specialists say is that one area breaks out in 1 day, another in 3 days, and another in 5 days. It just seemed like you were spreading it. You can break out more if there is plant material on your clothing. Or one gets out in it again and has another exposure. But you cannot give it to someone else from your skin lesions. Take a bath immediately after exposure and you can prevent breaking out with it. Treat it with Cortisone 10 cream.

Dr. Knapp

Date: Sun, 2 Jul 2000 20:59:09 -0500

Growing pains

These are leg aches in the evening or night. They follow a busy day and can be treated by rubbing them, put muscle rubs like icyhot, or give Motrin. You can also anticipate them and give Motrin before bed. There is an orthopedic problem if they have leg aches in the morning and limp during the day. Also look for progression. If the problem (stomach aches, headaches, leg aches, etc.) continues to get worse, then it needs to see the doctor.

Dr. Knapp

Date: Sun, 9 Jul 2000 20:54:40 -0500

Child safety should always be top priority for parents. The number one cause of burns in my practice is now the curling iron. Parents have been good about being careful about hot drinks, hot bath water, and cigarettes. Keep a vigil at home for problem areas. Think If I slipped and was knocked unconscious, would my child still be safe. Is there anything they might get into that would hurt them. If you find yourself saying Yeow! Get away from that! then you better fix that danger so they cannot be hurt by it because you might not see them get into it next time.

Dr. Knapp

Date: Sat, 15 Jul 2000 19:38:03 -0500

Growing pains These are leg aches in the evening or night. They follow a busy day and can be treated by rubbing them, put muscle rubs like icyhot, or give Motrin. You can also anticipate them and give Motrin before bed. There is an orthopedic problem if they have leg aches in the morning and limp during the day. Also look for progression. If the problem (stomach aches, headaches, leg

aches, etc.) continues to get worse, then it needs to see the doctor. Dr. Knapp

Date: Tue, 8 Aug 2000 06:50:15 -0500

Talk to your 18mo to 4 years olds to increase their language skills. A very good learning help are some books at this web site. These are great learning help materials. http://www.brightervision.com/

Dr. Knapp

Date: Tue, 15 Aug 2000 09:39:05 -0500

For those thinking of having another child. Be sure to take Prenatal vitamins when trying. To increase the chances for a boy/girl try timing of intercourse described in Choosing the Sex of Your Baby. Couples trying to conceive may want to stay away from certain herbal supplements, including St. John's wort, a popular herb used to treat depression, experts warn. St. John's wort, echinacea, and gingko biloba are among the herbs that may affect the chances of conceiving, experts say. Men and women who are trying to become parents should be wary of any herbal supplements and should talk to a specialist before using them. Many herbal preparations have been documented to contain estrogenic substances, which can have an impact on sex-hormone concentration and fertility. Echinacea and gingko biloba may hurt sperm production and fertilizing capability. None of these herbs have been studied. Be very cautious when using them. Other factors known to affect fertility. 1. Cigarette smoking. 2. Vaginal lubricants. 3. Age.(decrease 3 percent annually after age 24). 4. Wearing tight briefs.

Dr. Knapp

Date: Mon, 21 Aug 2000 16:44:14 -0500

The procedure Cochlear Implant for deafness in children is now being used in patients as young as 11 months old. The children learn to talk and function normally in society. It also is economical considering it costs $50,000 over their lifetime and the child earns much more than that during their life. Also there are some medications that will come off patent and be available as generics. That usually means it will be cheaper and over the counter. They are:

The antidepressant (Prozac),

the antianxiety drug buspirone (BuSpar),

the hair-loss treatment finasteride (Propecia),

the hypertension drug enalapril (Vasotec),

the osteoporosis medication raloxifene (Evista),

and the antihistamine loratadine (Claritin),

Dr. Knapp

Date: Mon, 28 Aug 2000 23:17:29 -0500

Olive oil is a great thing to have around the house for reasons other than cooking (or other uses for oil). 1. Put olive oil in the ears if they are crying at night with an ear infection. It will soothe the pain and we will check the ears in the morning. 2. Put olive oil in the ears before the children swim to prevent swimmers ear. 3. Put olive oil in the hair to cure head lice. It smothers them. Put the oil in the hair, cover with a plastic cap, and wash off the next morning. Repeat in 1 week. Of course use virgin olive oil. Ha ha.

Dr. Knapp

Date: Mon, 4 Sep 2000 00:07:59 -0500

Government says firestone replacement tires for the defective ones were as bad as the original ones. These are the replacement tires that are also bad.


Tire Line Size Code

ATX P205/75R15 VD 1991 Chevy Blazer

ATX P225/ 75R15 HY

ATX 30X9.50R15LT VD

ATX 31X10.50R15LT VD 199194, Nissan Pick UP,

ATX 32X11.50R15LT VD

ATX 31X10.50R16.5LT VD

ATX 33X12.50R16.5LT VD

Firehawk ATX 27X8.50R14LT VD

Firehawk ATX 235/75R15 VD Firestone LPT235/75R15

Firehawk ATX 3OX9.50R15LT VD

Firehawk ATX 31X1O.5OR15LT VD

Firehawk ATX 32X11.50R15LT VD

Firehawk ATX 33X12.50R15LT VD

Firehawk ATX 265/75R16LT VD

Firehawk ATX 255/85R16LT VD

Firehawk ATX 31X10.50R16.5LT VD

Firehawk ATX 33X12.50R16.5LT VD

ATX 23 Degree 31X1O.50R15LT VD

ATX 23 Degree 33XI2.50RI6.5LT VD

Widetrack Radial Baja P225/75R15 VD

Radial Baja A/S 32X11.50R15LT VD

Wilderness AT P235/70R16 W2 199698 F60 F

Wilderness AT 33XI2.50RI6.5LT VD

Wilderness HT P255/70R15 VD

Dr. Knapp

Date: Tue, 12 Sep 2000 02:04:08 -0500

Flu vaccine is important for kids with respiratory problems and asthma. It is recommended for all adults and especially those with lung and heart problems. There is supposed to be a shortage of flu vaccine manfactured this year. Be sure to get your vaccine early before we run out. We usually get the vaccine into the doctors' offices in October.

Dr. Knapp

Date: Tue, 19 Sep 2000 23:26:16 -0500

Babies turn yellow skin between 6 months and 2 years. The maximum hits at 1 year old. Their skin turns yellow from the yellow vegetables. It is not jaundice that turns the eyes yellow. This normal yellow skin without yellow eyes is called Carotenemia. It is vitamin A in yellow vegetables, and does not hurt them. Just a warning so you do not make an unnecessary trip to the doctor. Also we mentioned last week about a shortage of flu vaccine. Our office was notified we will not get it in till late November. So call your doc and find out when they will get it. Then come in right away if you need it.

Dr. Knapp

Date: Sun, 1 Oct 2000 11:24:20 -0500

Fifth's Disease is a common viral illness that occurs 2yr to adult but most happen during grade school. They have red cheeks in what we call "slapped cheek appearance". Then a few days latter they have a salmon-pink rash slightly smaller than a pencil eraser all over the arms and legs. (sometimes the chest and back) They do not itch or blister and they last a few weeks. No harm to the normal child. And they are contagious a few weeks before this. They are not contagious when the rash is there and we send them back to school. Just one of those things you have to get and

get over.

Dr. Knapp

He who loses money, loses much;

He who loses a friend, loses more;

He who loses faith, loses all.


Date: Sat, 7 Oct 2000 21:57:45 -0500

Accutane is a wonderful drug to stop the severe scaring acne that can have a lifetime of psychological problems with an adult face that is not pleasant looking (although it does not bother me if someone has it, however it definitely bothers many people who have those scars.) Accutane has side effects and the blood has to be monitored. You take it 4 months and your acne is gone. Women cannot get pregnant on it because it causes major defects. There is now a warning that it causes severe depression and rare suicide in adolescents while on it. Studies are going on to determine if it causes increases in it or if there is just many teens with depression and suicide. But the teen with severe acne IS stressed by the acne and depressed teens squeeze the acne more causing more scars. Which came first? Anyway, careful of giving it to a teen who is depressed and if a depressed teen has to have Accutane, consider giving an antidepressant at the same time. It is still a good drug and I would give it to my child if they needed it.

Dr. Knapp

Date: Sun, 15 Oct 2000 10:00:37 -0500

Fifth Disease is a viral illness that has been around forever. It is not talked

about and many parents have not heard of it. It is common in grade school years but can be seen from toddlers to adults. They have red cheeks and then a few days later break out in salmon pink spots on the arms and legs, with some having it on the torso. It does not itch or blister. They are not contagious then and we send them back to school. The virus was in them several weeks before the rash. Kinda wierd huh?

Dr. Knapp

Also, I sent a newsymail long time ago about "statin" drugs like Lipitor can lower

cholesterol dramatically. Now studies show 60-70% less Alzheimer's disease in patients taking statin drugs like lovastatin (Mevacor) and pravastatin (Pravachol).


Date: Sun, 29 Oct 2000 16:43:21 -0600

Halloween Safety:

Halloween is a magical time for children, but every year the holiday is marred by accidents. These safety tips will help keep your children safe. Of course the safest is to only go to church or school carnivals. Establish a route for the children to take, in a known neighborhood. Tell them to use flashlights if they go out after dusk, stay on sidewalks, avoid crossing yards, and cross streets at the corner-not between parked cars. Children should stop at all corners and stay together in a group before crossing the street. They should go only to well-lit houses and remain on the porch rather than going inside. Young children should be accompanied by an adult. They should have their names and addresses on their costumes, know their phone number, and have coins to make a call. Children old enough to go out alone should have a curfew. Masks can obstruct vision and hearing. Try to talk your child out of wearing one, and if that's not possible, make sure eye and ear holes are sufficiently large. Face paint is a good substitute, but it should be nontoxic and hypoallergenic. Costumes should be flame-retardant, fit property, and be marked with reflective tape. Avoid oversized shoes, high heels, trailing skirts or pants that your child could trip on, and floppy hats than might obscure vision. If a knife or sword is part of the costume, these toy weapons should be flexible-not rigid or sharp. Small children should not carve pumpkins. They can be allowed to draw a face on the pumpkin with markers, then let you do the cutting. Children over 5 can carve their own jack-o'-lanterns, using special pumpkin cutters that come with safety bars. If you light the jack-o'-lantern with a candle, votive candies are safest. Place lighted pumpkins on a sturdy table, away from the door and from curtains and other flammable objects. Never leave them unattended. Tell children to bring all their treats home, so you can check them out. Watch for signs of tampering, such as small pinholes in wrappers and torn o loose packaging. Look for small items like gum, peanuts, hard candy, or small toys that pose a choking hazard for younger children. To keep your home safe for visiting trick-or-treaters, remove any hazards-garden hoses, toys, bikes, lawn decorations-a child could trip over. Make sure the entrance is well-lit, replace any burned-out bulbs, and sweep wet leaves from sidewalks and steps. If you're out in a car on Halloween, drive slowly, watch for children, and exit driveways with care, Have a safe holiday.

Dr. Knapp


Date: Sun, 22 Oct 2000 09:49:24 -0500

Children usually wake up in the night with night mares or just wake and want to come in with the parents to sleep in the night. This is usually more frequently from 2 to 4 years old. They would like someone else there to comfort them and it can be a parent or a sibling. It is our job as parents to feed, clothe and keep them safe. The question is how we reassure them that we will keep them safe. Some parents will just call out and the child will go back to sleep. Some parents go in the childs bed till they go back to sleep. Some children come into their parents room and the parent takes them back into the childs room until they go back to sleep. Some parents let them stay in their bed. Some pull out from underneath the bed a pallet with pillow and blanket for them to sleep on beside their bed. If does not matter how but it is our job to do it. Decide how you and the child want to function and be consistent. Dont let them in one night and not the next. We also have some children who get up and roam the house, light the stove, or go outside the front door. It is OK to lock your child in their room if they are roam. They are safer locked in than getting into trouble.

Dr. Knapp

Date: Sun, 5 Nov 2000 16:05:14 -0600

I have mentioned before that most herbal remedies have "1,000 years of hearsay, but no good science to recommend them." For example, fenugreek is often touted for its ability to increase breast milk supply, but some women will take it and say it has no effect, while others claim it causes an overproduction of milk. There are no studies to confirm its efficacy. But what is known about fenugreek is that it can "cause hypoglycemia and hypertension in the mother. In the nursing infant, it has been associated with increased colic and diarrhea." Of even greater concern is the use of comfrey ointment to treat sore nipples. Although this is a favorite recommendation of many herbalists, the comfrey applied to nipples can be passed to the infant. In infants, it has been associated with liver toxicity, specifically hepatic veins clotting. Canada has banned comfrey for this reason, but it is still available in the U.S. We recommend that women who are interested in a so-called natural remedy for sore nipples should use purified lanolin.

Dr. Knapp


Date: Sun, 12 Nov 2000 21:53:20 -0600

There was a study that came out showing less memory if one ingested alot of Neutrasweet (aspartane). They had more memory if they took antioxidants daily. Also helps heart and decreases cancer. This was in adults... but could apply to children.

Dr. Knapp


Date: Sun, 19 Nov 2000 16:49:31 -0600

Doctors performed the first living-donor nerve transplant in an 8-month-old infant who received nerves from his mother.in an attempt to restore the use of his left arm. During his birth, Rodrigo Cervantes Corona of Morelia, Mexico, suffered an injury to his left shoulder from brachial plexus palsy. One or two babies per thousand experience damage to the brachial nerves during birth in what we call Erbs Palsy. Many recover full use of the arm. This was not true for Rodrigo. If the clavicle of the newborn breaks, then the nerve to the arm does not get injured. So it is good if the newborn gets a fractured shoulder clavicle. Weird huh?

Dr. Knapp

Date: Wed, 22 Nov 2000 16:32:27 -0600

You will hear about Bush running mate Chaney getting an angioplasty and a "stint" put into it. That is state of the art wire mesh to hold open the coronary artery and is the best for your relatives if they are going in for that procedure.

Dr. Knapp