Circumcisions
We are now able to preform circumcisions on your newborn boy. The procedure is currently only performed in our Cary office. Currently, Dr. Villareal is the only one that preforms circumcisions in the office. Here is what he has to say about the procedure.
“There are three different ways that a circumcision can be performed. I was trained in the most common method using a Gomco clamp. I feel comfortable performing circumcisions on newborns up to two weeks of age.
One of the most common concerns for a parent is how much pain their son will experience. I take great care to numb the area and ensure that your son is numb prior to starting the circumcision. I also have the baby suck on some sugar water throughout the procedure. With these two soothing mechanisms, evidence and my experience shows that most babies are very comfortable, and I have a high percentage that will sleep through most of the procedure.
The worst part of the procedure is that they have to have their legs strapped down to the table so that they do not interfere with the sterile area, which can make kids a little cranky after the procedure. The whole procedure takes about 25-30 minutes. After the procedure, I have the parents wait in the office for about 15 minutes so that I can check the penis and ensure that everything looks appropriate.”
If you have any additional questions please do not hesitate to contact our Cary office with more questions.
Nutrition
Eating disorders, obesity, picky toddlers, and vegetarianism are just a few of the topics our registered dietitians can cover. An appointment can be made at any time. Please discuss this service with your provider. We are excited to have Zeina and Caitlin as part of our practice.
Zeina works in our Cary office and she specializes in eating disorders. She is currently seeing patients via telehealth.
Zeina bridges the gap between knowledge and application when it comes to nutrition, and works with clients of all ages to help them form a healthy relationship with food and their bodies. She specializes in binge eating disorder, emotional eating, restrictive eating disorders, and hormonal/endocrine imbalances. She works directly with clients to create an individualized meal plan that will empower them with confidence and knowledge so that they can reach their personal nutrition goals. Zeina has a special interest in adolescent athletes who struggle with disordered eating, and establishes customized fueling plans to enhance performance. She educates her clients on how to fuel their bodies properly, provides guidance on nutrition supplements, exposes diet myths and strikes the balance between eating and health with an inclusive philosophy of conscious eating.
Zeina received her BS in Biological Sciences with a Nutrition Concentration at North Carolina State University, and completed her Dietetic Internship at Meredith College. She is an active member of the International Association of Eating Disorders North Carolina Chapter and a Certified Eating Disorder Specialist. Zeina was a member of the Healthy Diets family while completing her undergraduate degree in 2008. She then gained experience in both health and wellness clinics, hospitals, and settings that enabled her to provide nutritional guidance to members of special-forces units, mixed martial arts fighters, and triathletes. She rejoined the Healthy Diets team in 2014, and has found her passion in providing nutrition education to those with eating disorders, women’s endocrine/hormonal health concerns and sports nutrition.
Apart from her passion for nutrition, Zeina is a fitness enthusiast with a love for Olympic lifting. When she’s not working, you can usually find her spending time outdoors with her family or experimenting with new recipes in the kitchen!
More info on Caitlin to come!
Downloads
Reliable Web Sites
- Choose My Plate
Educational site on how to make healthy eating choices
Recommended Reading
- AAP Guide to Your Child’s Nutrition, Dietz and Stern
ADHD
Our office performs ADHD screening for our families and helps them navigate the confusing landscape of ‘attention’ in school and at home. Please call to set up a consult with one of our providers if you or the school has concerns.
Downloads
Reliable Web Sites
- ADDitude
Strategies and support for ADHD and LD
Child Development
Developmental Screenings
We are using developmental screens in our office at many checkups to make sure we don’t miss any subtle problems.
Recommended Reading
- Babyhood, Leach
- The First Three Years of Life, White
- Infants and Mothers, Brazelton
- Caring for Your Young Baby and Young Child-Birth to Age 5, Shelov, MD and Henneman, MD
- Your Baby’s First Year, Shelov
- What to Expect the First Year, Eisenberg, Markoff and Hathaway
- AAP Guide to Your Child’s Sleep, AAP
- It’s Potty Time (video), Duke Family Series
- How to Get Your Kids to Eat, but not too Much, Ellyn Sutter
- Guide to Toilet Training, AAP
Asthma
Asthma affects one in ten children and is one of the most common chronic diseases of childhood. As a practice, we are committed to helping you and your child control their asthma symptoms so that they can have a normal and active lifestyle.
Our patients with asthma are closely monitored. We will see your child in the office every 6 months at a minimum – At their well child exam, and again six months later. During your visit, your child may undergo pulmonary function testing and you may be asked to complete an Asthma Control Test. These tools help us understand how well your child’s asthma is controlled.
Your child will also have an examination and we will review his/her symptoms and medication use.
Questions on how to use a spacer properly? Check out these videos!