ANNOUNCEMENTS
We now offer walk-in hours on Mondays only from 7-9am for established patients with acute illnesses.
Flu vaccines are now available. Click here to schedule your child’s appointment or call our office. View updates about our COVID vaccines below.
Our practice will now be sending billing reminders via email and text. You can pay your bill online.

Advice for Parents

Q & A with Our Doctors

Cognitive Milestones

What are important cognitive milestones for my one year old?

One-year-olds are curious about most everything and try hard to explore the world around them. A typical 12-month- old: explores objects in many different ways (shaking, banging, throwing, dropping); finds hidden objects easily; looks at the correct picture when an image is named (i.e., will focus on a picture of a “dog” when asked); imitates gestures and sounds; and begins to use objects correctly (drinking from cup, brushing hair, dialing phone, listening to receiver). In terms of language skills, a typical 12-month- old: pays increasing attention to speech; responds to simple verbal requests; responds to “no;” uses simple gestures, such as shaking head for “no;” babbles with inflection; says “dada” and “mama” though not always appropriately; uses exclamations, such as “oh-oh!”; and tries to imitate words.

Developmental Stages for Babies 12-24 mos

What are the developmental stages of babies from 12 to 24 months?

A great deal of rapid cognitive and motor development occurs between ages 1 and 2. Many babies are starting to take first steps by 12 or 13 months and ought to be walking alone by 18 months. Other motor skills include: pulling toys behind when walking; beginning to run; standing on tiptoe; kicking and throwing a ball. Important verbal and social development skills include: following simple commands (initially when the adult speaks and gestures, and then later with words alone); getting objects from another room when asked; pointing to a few body parts when asked; pointing to interesting objects or events to get you to look at them too; bringing things to you to show you; and pointing to objects so you will name them. At this age, babies will name a few common objects and pictures when asked and should learn about 1 new word per week between 1½ and 2 years. They will use gestures and words with you or with a favorite stuffed animal or doll. By 2 years, children should be able to use simple 2-word phrases. Around this time, children also start to enjoy pretending (for example, pretend cooking).

First Steps

What does walking normally look like in toddlers?

Learning to walk takes a lot of practice, which can go on for a long time. Most children take their first steps around their first birthday, but the normal range for reaching this milestone is up to 18 months. Kids who are learning to walk are called “toddlers” because that’s exactly what they do — they “toddle,” keeping their legs wide apart and seeming to hesitate between each step, jerking from side to side as they move one foot forward, then the next. Soon after your toddler takes her first steps, she’ll learn to stoop down and then stand back up again. If your child’s an early walker, she probably loves toys that she can push or pull as she toddles. About 6 months after taking their first steps, toddlers develop a more mature gait, holding their hands at their sides (rather than out in front for balance) and moving with their feet closer together. They also tend to move their feet in a way that looks more like walking and less like waddling, moving from the heel to the toe.

Toilet Training

How do I know if my child is ready for toilet training?

In order for a toddler to be successfully toilet trained, she needs to be able to sense the urge to go, be able to understand what the feeling means, and then be able to verbalize that she needs your help to make it to the toilet and actually go. The first steps in this process involve bodily sensation awareness and usually take place at around 12 – 18 months.  As time passes, your child may demonstrate discomfort over a dirty diaper, try to remove her diaper or resist being diapered. Understanding the link between needing to eliminate and doing so is an important step in toilet training readiness. More development is necessary before your child can begin picturing the potty when she needs to go, plan how she will get to the bathroom and urinate into the potty, and remember her plan long enough to carry it out. Acquiring simple words to describe her body and its workings helps your child think more fully about the process of elimination. Waiting until your child is truly ready will make the experience much faster and more pleasant for everyone involved. Gentle training can usually begin between 2 and 2 ½ years with mastery generally achieved by 3 years.