18 Month Well Check


 

MY 18 MONTH VISIT 

What I can do now

  • I can point to one or more parts of my body when you call them out.
  • I can understand simple things you tell me to do.
  • I can walk well, stop and get up again, and climb stairs and run slowly.
  • I can stack 3-4 blocks.
  • I can feed myself with my fingers.
  • I can use a spoon and a cup.
  • I like to look at pictures and name the things I see.
  • I can throw a ball.
  • I can imitate strokes with a crayon and scribble away.
  • I may be exploring my genitalia.

Help me learn what to eat

  • Let me eat with my family as often as possible.
  • Make my mealtimes pleasant with small talk at the table. Be sure to talk to me too.
  • Give me 2 or 3 healthy snacks between meals, but avoid using them as a reward.
  • Avoid giving me extra salt and sugar in my food.
  • I like to touch, feel, and taste my foods so that I may be messy.
  • Do not give me cookies or sweets when I have not eaten well that day.
  • Please do not force me to eat. Sometimes I want more, sometimes less.
  • Do not give me peanuts, popcorn, hard candy, gum, chunks of meat, raw vegetables, grapes, hot dogs, or anything else that could lodge in my throat and choke me.

Protect my teeth

  • Please do not put me to bed with a bottle of juice or milk. Do not allow me to carry around a bottle or sippy cup with fluids other than water. These practices will harm my teeth
  • Please brush my teeth with a soft toothbrush and a little dot of toothpaste with fluoride every day. I will do it myself when I get older.

Concerns for Mom and Dad

Sleeping

  • Start or keep up my bedtime ritual. Do not let me watch TV just before bedtime. It stimulates me, and I may not be able to sleep.
  • Quiet time or a story before bed will help me wind down.
  • I may have occasional nightmares or night terrors. Reassure me and put me back to bed.

Toilet training

New AAP Book on Toilet Training

  • Please do not start to toilet train me yet. It will frustrate us all!
  • I will let you know when I am ready to potty train when I am between 2 and three years old.
  • When I am ready, I will be able to hold my urine for at least two 2 hours, pull my pants up and down, know when I am wet and dry, signal to you when I need to go and can follow simple directions. I should want to learn before starting to train.
  • Consider getting me a potty to sit on with my diaper on.

Discipline

  • Please use discipline to teach me and keep me safe. Be positive and praise me often. Redirecting and keeping me out of tempting situations are still the best strategies.
  • Praise me when I do something you want me to do again or accomplish a new task.
  • Let me make choices when possible.
  • Ignore undesirable or negative behavior that does not hurt others.
  • When I need limits set, offer alternative activities, gently restrain me, or separate me from the object until I am calm.

Help me learn and play

  • Encourage me to play. Spend some time playing with me every day. Listen to me.
  • Limit television. Do not substitute TV for human contact.
  • Do not expect me to share my toys yet.
  • Help me to express my anger, joy, sadness, fear, and frustration.
  • Read to me every day. Sing with me. Talk to me. Tell me about the items you put into the cart at the store.
  • Teach me the names of my body parts, including reproductive organs.
  • I enjoy toys and games that allow me to throw, kick, dance, hide and be found. I also like to imitate you doing tasks.
  • Consider a parent-toddler playgroup.
  • Continue having me play with blocks and using large crayons.
  • Take me to the playground, but watch me carefully at all times.

Family relationships

  • Show affection for other members of the family so they do not feel jealous.
  • Spend some time with each member of the family.
  • Please do not leave me alone with other children less than 12 years old.
  • You need some adult time without me. That will help you to relax around me.
  • Help me settle fights with siblings without taking sides.

Keep me safe

  • Never leave me without adult supervision in the bathtub or around a toilet, a mop bucket, or a pool.
  • Protect me from burns by setting the water heater to no more than 120° F, and keeping me away from hot stoves, fireplaces, iron, curling irons, and heaters. Also keep matches, lighters, and cigarettes out of my reach.
  • Protect my skin from sunburn with sunscreen. Choose a water-resistant or waterproof sunscreen and reapply every 2 hours.
  • Choose my babysitters and day care carefully. Never give them permission to hit me.
  • Teach me to be careful around dogs and other animals that might bite.
  • Please do not smoke around me or inside the house or car.
  • Hold me or have a hand on me when I am in the pool. Don’t trust floaties to keep me safe. Always be sure everyone in a boat has a life vest on, including me.
  • Never swing me by my arms. It can dislocate my elbows.

Before my 24 month visit I may...

  • Go up and down stairs one foot at a time.
  • Follow simple directions and be able to follow two-step commands.
  • Use 2-word phrases. Imitate adults in everyday activities.
  • Kick a ball.
  • Speak at least 20 words.

Pediatric Associates of Austin

Pediatricians located in Austin, TX

Situated between Tarrytown and Rosedale neighborhoods, Pediatric Associates of Austin is conveniently located in the heart of Austin, Texas. Since the practice first opened in 1974, the doctors and nurses here have treated many of the city’s children. Some of their former patients have even brought their own children to the practice, creating a family legacy at Pediatric Associates of Austin.

Board-Certified Pediatricians

All of the doctors at Pediatric Associates of Austin are board-certified pediatricians. Many of them are also fellows of the American Academy of Pediatrics. Between all of the doctors, the team has a diverse array of specialties and experiences that help them provide excellent, comprehensive pediatric care.

The full list of doctors at the practice include:

  • Dr. Stephen Griggs
  • Dr. Samuel Mirrop
  • Dr. Lance Hargrave
  • Dr. Ashley Gonzalez
  • Dr. Brandi Loomis
  • Dr. Jessica Mowry
  • Dr. Katie Sanford

 

Highly Trained Nurse Practitioners

In addition to these doctors, the practice also has a highly qualified nurse practitioner, Emily Woodard. Emily is a member of the National Association of Pediatric Nurse Practitioners. Emily Woodard earned her  Pediatric Nurse Practitioner certification through The University of Texas at Austin. She also sees patients at Pediatric Associates of Austin, SportsSafe Concussion. Brain. Body., and at the evening clinic, After Hours  Kids.

SportsSafe and After Hours Kids

Many of the providers at Pediatric Associates of Austin also provide care through SportsSafe: Concussion. Brain. Body. and After Hours Kids, which are both located in the same building.

SportsSafe: Concussion. Brain. Body. Provides baseline testing, concussion evaluations, and concussion education for student-athletes. After Hours Kids provides medical care for children during evenings and on weekends.

In addition to these extension programs, Pediatric Associates of Austin also has an on-site lab. This lets them expedite blood work when needed.

Care for Children of All Ages

We provide exceptional medical care for children from birth through college. At Pediatric Associates of Austin, we offer personal, comprehensive service including on-site laboratory and digital imaging. All of our nurses are Registered Nurses who have a vast knowledge of pediatric medicine. Our physicians are all Board-Certified Pediatricians.

We provide exceptional medical care for children from birth through college. At Pediatric Associates of Austin, we offer personable, comprehensive services including on-site laboratory and digital imaging. All of our nurses are Registered Nurses who have a vast knowledge of pediatric medicine. Our physicians are all Board-Certified Pediatricians.

Pediatric Associates of Austin exists to provide parents and children with excellent medical care and parenting education. We strive to be advocates for children to ensure each child’s value and to help families be successful in raising confident, capable members of our society.

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Pediatric Associates of Austin

Situated between Tarrytown and Rosedale neighborhoods, Pediatric Associates of Austin is conveniently located in the heart of Austin, Texas. Since the practice first opened in 1974, the doctors and nurses here have treated many of the city’s children. Some of their former patients have even brought their own children to the practice, creating a family legacy at Pediatric Associates of Austin.

Board-Certified Pediatricians

All of the doctors at Pediatric Associates of Austin are board-certified pediatricians. Many of them are also fellows of the American Academy of Pediatrics. Between all of the doctors, the team has a diverse array of specialties and experiences that help them provide excellent, comprehensive pediatric care.

The full list of doctors at the practice include:

 

Highly Trained Nurse Practitioners

In addition to these doctors, the practice also has a highly qualified nurse practitioner, Emily Woodard. Emily is a member of the National Association of Pediatric Nurse Practitioners. Emily Woodard earned her  Pediatric Nurse Practitioner certification through The University of Texas at Austin. She also sees patients at Pediatric Associates of Austin, SportsSafe Concussion. Brain. Body., and at the evening clinic, After Hours  Kids.

SportsSafe and After Hours Kids

Many of the providers at Pediatric Associates of Austin also provide care through SportsSafe: Concussion. Brain. Body. and After Hours Kids, which are both located in the same building.

SportsSafe: Concussion. Brain. Body. Provides baseline testing, concussion evaluations, and concussion education for student-athletes. After Hours Kids provides medical care for children during evenings and on weekends.

In addition to these extension programs, Pediatric Associates of Austin also has an on-site lab. This lets them expedite blood work when needed.

Care for Children of All Ages

We provide exceptional medical care for children from birth through college. At Pediatric Associates of Austin, we offer personal, comprehensive service including on-site laboratory and digital imaging. All of our nurses are Registered Nurses who have a vast knowledge of pediatric medicine. Our physicians are all Board-Certified Pediatricians.

We provide exceptional medical care for children from birth through college. At Pediatric Associates of Austin, we offer personable, comprehensive services including on-site laboratory and digital imaging. All of our nurses are Registered Nurses who have a vast knowledge of pediatric medicine. Our physicians are all Board-Certified Pediatricians.

Pediatric Associates of Austin exists to provide parents and children with excellent medical care and parenting education. We strive to be advocates for children to ensure each child’s value and to help families be successful in raising confident, capable members of our society.


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Is Your Child Sick?

View the KidsDoc Symptom Checker from HealthChildren.org by clicking here    

     

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If your child is seriously ill, please call us directly at (512) 458-5323

Our New Payment Partner!

Pediatric Associates of Austin has partnered with Patientco to allow you to Pay Your Bill online! This is the simplest, most secure payment experience possible.


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Injuries Happen. We're Here to Help.

By partnering with SportsSafe, Pediatric Associates of Austin is dedicated to helping pediatric patients who have sustained a concussion injury. For more information about SportsSafe click here.

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After Hours Care

AFTER HOURS KIDS is a pediatric care clinic staffed by Certified Pediatric Nurse Practitioners as an after hours extension to Pediatric Associates of Austin. It is common for problems to present themselves after regular hours for children 18 years and younger. We have an on-site lab available, and we are open to the general public.

AFTER HOURS KIDS is not a Primary Care Provider and does not accept patients for on-going primary care.

Ear Piercing available at After Hours Kids

Since a newborn’s ears are not fully developed and they typically have not received their first two tetanus vaccines, ear piercing in children under 4 months is not recommended. We advise piercings to be done between 4 to 6 months or after 12 years of age. However, some exceptions can be made. Click here for more information.

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Testimonials

Words from our patients

  • Google

    "This is hands down the BEST place you can take your children. They are so patient, caring and friendly. "

    Katie I.
  • Google

    "It's such a relief to be able to get my sick kiddos in after work hours. "

    Erin S.
  • Google

    "Super great with our son and incredibly patient and thorough with all our first time parent questions. We love Dr. Mowry."

    GIOVANNA B.
  • Google

    "Got us in first thing on a Saturday to diagnose a second round of strep. Dr. Sanford is thorough and sweet and we have loved every experience with her!"

    WHITNEY B.
  • Google

    "Dr. Gonzalez is a kind and patient listener. She immediately puts my children at ease when they talk with her. We love her!"

    ASHLEY P.
  • Google

    "Dr. Loomis is the best! She is very attentive and answers all of my questions. I never feel rushed with her. She’s gentle and caring and I couldn’t be more pleased!"

    KERRY W.
  • Google

    "Dr Mowry is always very kind and genuine. I leave my daughter's appointments feeling informed and secure that she is getting the best care. Thank you Dr Mowry."

    LIZ A.
  • Google

    "We love Dr. Sanford and appreciate the time and detailed attention she devotes to our son. She is warm, friendly and extremely patient!"

    SAMANTHA S.
  • Yelp

    "Dr. Mirrop is wonderful. I would recommend him to everyone who asks for a good pediatrician."

    SARA N.
  • Yelp

    "After Hours Kids was there for us! I'm so grateful to have found them!"

    Michelle F.
  • Yelp

    "I love Dr. Hargrave. He is always incredibly detailed and we are grateful for his approach to ensure parents' concerns are taken into account with care of his patients."

    J. C.
  • Google

    "Dr Loomis is incredible. She is knowledgeable, patient, kind, and thorough. My son has been her patient from the beginning. Highly recommend her."

    JESSICA E.
  • Google

    "I love that there are so many different hours available as well as the ability to see a Dr. on the weekend. "

    Anne R.
  • Google

    "Dr. González is always incredibly empathic and informative. As first time parents my husband and I have been grateful for her guidance."

    JAMIE P.
  • Google

    "We are new patients and feel extremely cared for by the staff here. Our newborn son has received personalized care and attention by doctors, nurses and other staff."

    Katherine B.
  • Google

    "We love Dr. Sanford and appreciate the time and detailed attention she devotes to our son. She is warm, friendly and extremely patient!"

    Samantha T.
  • Google

    The clinic is a well-oiled machine with very friendly staff. You’re given a patient room to wait in immediately and we have never waited too long to see the pediatrician.

    Lucinda W.
  • Google

    "My children have been coming to Pediatric Associates for 10 years. The doctors are knowledgable, the nurses are fantastic, the appointments run on schedule..."

    E.M.
  • Google

    "Great practice, we have been patients for almost 16 years. Very easy to get an appointment, even on short notice. Quick in/out, great docs, great staff."

    Clara O.
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Pediatric Associates of Austin
1500 West 38th Street
#20
Austin, TX 78731