5 TIPS TO SOOTHING A FUSSY BABY..

Babies cry. Its their thing. Sometimes as a parent, you can figure out why, other times, not so much. Lets say your baby is crying; she just fed, her diaper is clean, yet she is still upset. What do you do now?

Father and Baby Girl Crying Caucasian2

Here are five tips that may help. If your baby is still inconsolable, you may want to call your doctor to make sure she’s ok.

  1. Swaddling: This is especially effective for newborns under 1 month of age. They love to be snug, the thought is that swaddling mimics the confined intrauterine environment that they have been hanging out in for 40 weeks, give or take. However, once your child gets a little bit older, they tend to like their space more.
  2. Sucking: Babies love sucking – not in the “you suck” kind of way, but more of the “ here suck on this” type of thing. Sucking on a pacifier, or mom’s breast is very soothing for infants. Many new parents think that the baby is hungry when anything goes near their mouth and they elicit the sucking reflex. But that’s exactly what it is, a reflex. Babies have a very strong suck reflex. It is basic survival mechanism. Try it at home, touch the cheek of your baby  close to the corner of her mouth, and watch what happens. Most of the time, she will turn towards that side and pucker her lips ready to suck on something. If you’re child had a good meal, and she is still fussy, try to offer her a pacifier, see if it helps.
  3. Shushing( yes, I know its not a real word, but stay with me!): White noise! This is what newborns have been listening to during the entire pregnancy, its like their gestational soundtrack. You can recreate this by saying Shhhh loudly in baby’s ear – but please spare her the spit shower. Turning on a fan or vacuum cleaner would do the same. But lets not forget that in this day and age, there is an App. for that!
  4. Swinging: By gently rocking your baby, you are sure to help soothe her as well. You can be very gentle with this, you don’t need to go off the wall. Just gentle head bopping works well, like a rapper.
  5. Singing: Infants love the voices of their parents. So go ahead and sing your guts out, there are no judges here.

These recommendations are based on Dr. Karp’s Happiest Baby on the Block, and in my opinion, he provides good advice. Having said that, if your child is not responding to any of these soothing techniques, or you have a gut feeling that her cry is excessive and out of the norm, definitely talk to your pediatrician and get her checked out.

Have you had any luck with these techniques? What do you do to soothe your fussy baby?

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The Insurance Debacle!

Now that it has been 2 months into the practice, I am starting to finally see the insurance payments coming in. Awesome, right?!  Ehhh…

Let me explain this to you and you tell me your thoughts:

Patient X has Medicaid, this patient came in for a well visit, but he also happened to have some ear pain. so doing the reasonable thing, I did the appropriate assessment for the well visit part such as measurements, calculating BMI, checking the child’s vision, assessing him for any developmental problems or behavioral problems and discussing all the details of what is relevant to his age.

Now for the ear pain part of the visit, it’s a different assessment, and he needed a prescription, not only that but he had a lot of wax in his ears, which I went ahead and removed.

At this point all this patient’s issues are addressed.Now comes the billing part:  For insurance claims, one must submit an itemized list of things that were done and hope the insurance will pay for all the work.

In this particle instance, Medicaid decided to pay me only for the ear wax removal $37!!

Apparently I am not allowed to perform multiple “procedures” in one visit. Unfortunately this a game that one has to play to try to get the best reimbursement rates from the insurances. Is it ridiculous?! Abso-freakin-lutely!

What difference does it make if I do the procedures in one day verses have the patient come 3 separate times to get the same done from an insurance stand point?! The work is being done either way! How is having parents miss work and their children miss school repeatedly  reasonable according to the insurance company.

Unfortunately for me, a solo practitioner with my overhead and bills to pay, this type of reimbursement is not sustainable, and I unfortunately have to comply with the way the insurance company is going to pay me. I really hate that I have to do this…

What are your thoughts on the matter?

 

Moving In!

I am very excited to share with everyone the great news, we have finally moved in to our brand new office.  Please feel free to stop by and say hi. We can register your child and get him or her established with us. So far the insurances that we are currently accepting are :

– straight Medicaid

-Cigna

-Aetna

and some Tricare.

Please be patient with us as we sort out all the red tape we have to go through to become providers with your insurance providers. Whats your insurance company? Let us know so we can become providers!