Phone: (281) 628-7442
Fax: (281) 837-7156


Using a tampon for the first time can seem a little weird and scary, but it’s really nothing to worry about.  The best time to try a tampon is mid-flow, when the vaginal lining is not too dry.  Start with a plastic applicator for easier insertion, and use a little vaseline for lubrication if needed.  Tampons can be worn for up to 8 hours at a time, but ideally should be changed about every 4 hours and should not be left in place overnight to avoid risk of infection (toxic shock syndrome.)  During periods of heavy flow, you may need a pad or thin liner in addition to catch any overflow leaks. 

Tampons are inserted into the vagina, which is NOT where urine comes out so you can urinate easily even with a tampon in- for a better idea of the anatomy take a look here.

Watch this video from Tampax or this video from Boston Children’s to learn the proper way to insert a tampon.

Here is another good article that reviews female anatomy and details how to easily insert a tampon from The Center for Young Women’s Health- this comprehensive website has terrific articles covering a wide array of young women’s issues.

Mental & Behavioral Health tab should redirect patients to separate page. In this page include the following list (each item listed will then open to separate page/link as instructed for each)

Understanding ADHD and ADD
(Attention-Deficit/Hyperactivity Disorder)

Attention-deficit/hyperactivity disorder (ADHD) and Attention-deficit disorder (ADD) are conditions of the brain that make it hard for children to control their behavior.  It is one of the most chronic conditions of childhood.  All children have behavior problems at times.  Children with ADHD have frequent, severe problems that interfere with their ability to live normal lives.

A child with ADHD may have one or more of the following behavior symptoms:

  • Inattention- has a hard time paying attention, daydreams, is easily distracted, is disorganized, loses a lot of things.
  • Hyperactivity- seems to be in constant motions, has difficulty staying seated, squirms, talks too much.
  • Impulsivity- acts and speaks without thinking, unable to wait, interrupts others.

How can I tell if my child has ADHD?
Your pediatrician will assess whether your child has ADHD using standard guidelines developed by the American Academy of Pediatrics.  Keep in mind the following:

  • These guidelines are for children 6 to 12 years of age.  It is difficult to diagnose ADHD in children who are younger than this age group.
  • The diagnosis is a process that involves several steps.  It requires information about your child’s behavior from you, your child’s teacher, and/or other caregivers.
  • Your pediatrician will also look for other conditions that have the same types of symptoms as ADHD.  Some children have ADHD and other (coexisting) conditions, i.e. conduct disorder, depression, anxiety, or a learning disability.
  • There is no proven test for ADHD at this time.

If your child has ADHD, the symptoms will:

  • Occur in more than one setting, such as home, school, and social settings.
  • Be more severe than in other children the same age.
  • Start before your child reaches 7 years of age.
  • Continue for more than six months.
  • Make it difficult to function at school, at home, and/or in social settings.

What does treatment for ADHD involve?
As with chronic conditions, families must manage the treatment of ADHD on an ongoing basis.  In most cases, treatment for ADHD includes the following:

  1. A long-term management plan. This will have< >Target outcomes (behavior goals, ie, better school work)Follow-up activities (i.e. medication, making changes that affect behavior at school and at home.)
  2. Monitoring (checking the child’s progress with the target outcomes)
  3. Medication– for most children, stimulant medications are a safe and effective way to relieve ADHD symptoms.
  4. Behavior therapy– this focuses on changing the child’s environment to help improve behavior.
  5. Parent training– training can give parents specific skills to deal with ADHD behaviors in a positive way.
  6. Education– all involved need to understand what ADHD is.
  7. Teamwork- treatment works best when doctors, parents, teachers, caregivers, other health care professionals, and the child work together.  It may take some time to tailor your child’s treatment plan to meet his needs.

Treatment may not fully eliminate the ADHD-type behaviors.  However, most school-aged children with ADHD respond well when their treatment plan includes both stimulant medications and behavior therapy.
Is there a cure for ADHD?
There is no proven cure for ADHD at this time.  The cause of ADHD is unclear, although it is clearly somewhat genetic in origin.  Research is ongoing to learn more about the role of the brain in ADHD and the best ways to treat the disorder.

Easy Interventions for Executive Function Deficits (these will help you start organizing your chid’s work at school and home):

Problems initiating work:  Break long assignments into chunks, review the “big picture”
Problems with attention regulation:  Eliminate distractions- use bright light in work area and clear surrounding area of potential distractions such as electonics, TV, siblings
Problems with attention shifting:  Plan transitions, institute 5 minute warnings, use a timer
Problems with organization:  Minimize clutter, color-code materials, establish a daily routing, create templates for writing assignments, use graphic organizers and visual charts placed strategically.
Problems with time management:  Schedules, calendars, planners, to-do lists, intermediate deadlines, watch with alarms and timers.
Problems with working memory:  Written directions from teachers/tutors, teach highlighting, note-taking, outlining, circling important key words.

For further information, visit this link to “Understanding ADHD:  Information for Parents about Attention-Deficit/Hyperactivity Disorder,” a booklet from the American Academy of Pediatrics:
Here is the booklet.


The Pomodoro Technique is a time management method developed by Francesco Cirillo in the late 1980s. The technique uses a timer to break down work into intervals, traditionally 25 minutes in length, separated by short breaks. Each interval is known as a pomodoro, from the Italian word for tomato, after the tomato-shaped kitchen timer that Cirillo used as a university student.

Six steps in the technique:

  1. Decide on the task to be done.
  2. Set the pomodoro timer (traditionally to 25 minutes)
  3. Work on the task.
  4. End work when the timer rings and put a checkmark on a piece of paper.
  5. If you have fewer than four checkmarks, take a short break (3–5 minutes), then go to step 2.
  6. After four pomodoros, take a longer break (15–30 minutes), reset your checkmark count to zero, then go to step 1.

Other valuable books

How do to proceed if you suspect your child has ADHD/ADD:
New ADHD evaluations will not be scheduled until the parent and teacher(s) have completed online ADHD questionnaires.  These will be assigned to your online CHADIS account by our office on request.  Once completed, we will schedule a visit with the parent(s), and then with the parent and child.  Please supply the office with any school evaluations or testing done prior to your appointment for review by the physicians.  We may additionally refer you to a psychiatrist or for further neuro-developmental testing as needed.

Valuable links:

Here is a terrific series of blog pieces that take you from diagnosis to treatment:

Labels- Why Should My Child be Diagnosed?
Who’s Who in Learning & Behavior Evaluation & Management
Evaluation Process to Diagnose Learning and Behavioral Issues
Special Diets for ADHD
Supplements for ADHD
Alternative Treatments for ADHD
ADHD Medications: Types and Side Effects
ADHD Medications: Starting Out and Titrating

Cherish the Gifts of ADHD
School Resource Guide for Students with ADHD (504 plan, IEP)

Child Mind Institute also has a comprehensive series of articles on ADHD:

What is ADHD
Parents Guide to ADHD Medications
How to get your Child Organized
ADHD and Behavior Problems

ADHD and College

(articles referenced below available for free download via the NICHQ 2002 toolkit)
Does my child have ADHD?
Medication Guide for ADHD
Tips for parents of children with ADHD
Tips for ADHD related sleep issues
Homework tips for children with ADHD
Education rights for children with ADHD
How to create a home-school daily report card
Alternative Treatments for ADHD