Collin Naugher NP

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🩺 Keeping your kids out of the ER 🚑

Dr. Collin Naugher
DNP, APRN, CPNP-PC

👉Empowering parents to advocate for their kids
🥂Integrative care
Husband & Dad x 4️⃣

09/10/2026

Save this: the 50th percentile is not the goal. 📈

A growth chart is one of the best tools we have for checking your child’s health.

It tracks weight, height, and, for babies, head size.

These numbers help show whether your child’s body is getting what it needs to grow.

But here is what I don’t want to miss:

The percentile itself is not a grade. A child at the 10th percentile is not less healthy than a child at the 75th. Genetics and normal body type matter.

The pattern over time matters most. 🔍

A steady curve can be reassuring, even if your child seems to eat very little. A change in that pattern may lead us to look more closely at nutrition, digestion, hormones, chronic illness, or feeding problems.

One measurement never tells the whole story. We consider the growth trend, appetite, development, symptoms, and family growth patterns together.

So the biggest question is not, “How high is the percentile?”

It is, “Is your child growing along their usual curve?” 💙

Follow for practical pediatric guidance, and share this with a parent who worries about how much their child eats.

09/09/2026

Your newborn’s breathing may look broken, even when it isn’t. 😳

You may notice your baby breathe quickly, pause for a few seconds, and then start breathing again. This often happens during sleep and is called periodic breathing. 👶🫁

A newborn’s brain is still learning how to control breathing. That can make the rhythm look uneven. It is most common during the first few weeks of life and usually fades as your baby grows.

With normal periodic breathing, the pauses are brief. Your baby stays pink, breathes comfortably, wakes normally, and acts like themselves.

Still, never assume an odd breathing pattern is normal. Your child’s provider may check oxygen levels, listen to the heart and lungs, watch for breathing distress, and review the full history before giving reassurance.

If your baby has a longer pause, turns blue or gray, pulls hard at the ribs, grunts, becomes limp, or will not wake normally, get emergency help.

It may look scary, but sometimes it is simply a young brain learning how to breathe.

Save this for tonight. 📲

09/08/2026

🚨 Scary does NOT always mean ER.

Kids have a special talent for making normal sickness look VERY dramatic. 😅

A high fever. 🤒
Green snot. 🤧
A cough that sounds TERRIBLE.
One giant puke. 🤢

All of these can look scary without being an emergency.

The bigger clues? 👀
How is your child breathing, drinking, and acting?

Of course, symptoms can change, and you know your child best. When something feels truly off, get them checked.

💬 Which one worries you the most?

📲 Share with a parent who needs this.

Follow Dr. Collin Naugher | Pediatric NP for more prepared, not panicked pediatrics. 🩺

09/06/2026

A 104°F fever can look terrifying, but the number is not the whole story.

Here are four fever myths I hear all the time:

1️⃣ Myth: Fever causes brain damage.

Typical fevers caused by illness do not cause brain damage.

2️⃣ Myth: A higher fever always means a worse illness.

Look at the whole child. Are they alert? Drinking? Peeing? Breathing comfortably?

3️⃣ Myth: Medicine should bring the temperature back to 98.6°F.

Fever medicine is meant to help your child feel better. The temperature does not have to return to normal. Always use the correct dose for your child’s weight.

4️⃣ Myth: Fever medicine prevents febrile seizures.

Acetaminophen and ibuprofen may improve comfort, but they do not reliably prevent febrile seizures.

One important exception: A re**al temperature of 100.4°F or higher in a baby under 3 months needs prompt medical care.

Seek urgent help if your child is struggling to breathe, is difficult to wake, has a stiff neck, shows signs of dehydration, develops a purple rash, or has a seizure lasting longer than five minutes.

Treat the child, not just the number.

Save this for fever night.

09/04/2026

The crying stopped. That was the clue.

Your 10-month-old suddenly screams and pulls into a ball.

Then, two minutes later, your child seems completely fine.

Could it be gas? Teething? Overtired?

Maybe. But when severe crying keeps returning in waves, especially with the knees pulled toward the chest, your child needs the ER now.

This pattern can happen with intussusception. That means one part of the bowel has slid inside another part, almost like a folding telescope.

Watch for:

1️⃣ Sudden crying that comes and goes
2️⃣ Calm or playful periods between episodes
3️⃣ Knees pulling toward the chest

Vomiting, pale skin, unusual sleepiness, a swollen belly, or blood in the stool can also occur.

But here is the important part: Do not wait for bloody stool. Blood and mucus may appear later, after the bowel has already been under stress.

An ultrasound can help find intussusception. An air or liquid e***a performed in the hospital can sometimes diagnose and treat it at the same time. That is one reason urgent care may not be the right destination.

On the way, note how often the episodes happen. Don’t force food or drinks, and don’t delay leaving to collect more clues.

Most crying is not caused by an intestinal emergency. The pattern, your child’s appearance, and the symptoms around the crying are what change the decision. ❤️

This is general education and does not replace care from your child’s healthcare professional.

What would you have chosen? Leave your pediatric question below for a future Red Flag Friday.

09/04/2026

The dinosaur was “in him.” Just not medically. 🦖

When you think your child put something where it does not belong, stay calm and check the whole story:

1️⃣ Are they choking or struggling to breathe?
2️⃣ Are they drooling or unable to swallow?
3️⃣ Is there sudden one-sided nasal drainage or a bad smell?
4️⃣ Could the missing object be a button battery or magnet?

Avoid blindly digging in the mouth, nose, or ears. That can push an object deeper.

Thankfully, this T. rex was only hiding inside a sweatshirt hood. Case closed.

Then Mom leaned closer and asked why her son smelled like maple syrup.

The smell was real. The pancakes were not. 🥞

Follow Dr. Collin Naugher | Pediatric NP because somehow this waiting room has produced another mystery.

What do you think caused it?

This fictional series is loosely inspired by the daily chaos of pediatric urgent care and created for education and entertainment.

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