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  • Life without a safety net: what happens when kids age out of foster care?

    Like many parents, I could hardly believe it when my son turned 18. “How could he be this old already?” I thought and then “Why is he so different than I was when I turned 18?” My son Brandon, who is now 20, is still living at home, and we are gently pushing him to learn about living on his own. He is part of the generation of kids who are experiencing an extended adolescence. He’s been a little less mature than his peers and this decision makes sense for us and for him. We have some clear steps outlined and he’s following them.  And I’m sometimes tying myself to a chair so I don’t “help” too much.

  • What happens when we compare our child’s illness to another?

    Recently, a friend shared with me a book whose title and premise really upset her. She is the mother of a cancer survivor and friend to many cancer patients, and the title of the book offended her to the core. It’s called, “I wish my kids had cancer: a family surviving the autism epidemic.” I hesitated even to share the title of the book because it elicits such strong emotions, even to those of us who’ve never read the book. And, I’m not sure that this book deserves the attention we’ve given it, good or bad.

  • What it means if your child fails his/her newborn hearing screening part 2

    In our previous post, we discussed the newborn hearing screening. Now let’s discuss what a failed hearing screening means and what will usually follow. In general, there are two types of hearing loss: sensorineural and conductive. Conductive hearing loss occurs when there is a break in the conduction of sound between the outside world and the end of the stapes or 3rd hearing bone. The second type of hearing loss is sensorineural, or nerve-related. This can occur within the cochlea or anywhere along the path of the cochlear/auditory nerve and remainder of the pathways from the cochlea to the brain.

    Conductive hearing loss

    Conductive hearing loss is easy to understand: something is blocking the sound from getting into the inner ear. There are several things that can cause conductive hearing loss which results in a failed newborn hearing screening. The most common of these is fluid in the ear canal or middle ear. The middle ear space is filled with fluid in general up until delivery. As the baby is delivered, the movement through the birth canal helps push the fluid out of the middle ear space. When this does not happen effectively, fluid can remain in the middle ear space and cause a conductive hearing loss and a failed newborn screening. This usually goes away after a short time, but it can persist for 4-6 months and may necessitate a procedure to drain the fluid from the ears.

  • When family expectations differ from your doctor’s advice, what’s a new parent to do?

    Written by Lisandra Perez, MD

  • When Your Child Hurts: What Is Amplified Musculoskeletal Pain Syndrome?

    Before you chalk up your teen’s vague complaints of pain to an attempt to stay home from school, consider this: As many as 40 percent of children suffer from chronic pain and 7.5 percent have amplified musculoskeletal pain syndrome (AMPS). Cases of AMPS are on the rise, thanks to the pandemic that has left kids more depressed, isolated and sedentary.

  • What it means if your child fails his/her newborn hearing screening

    Amid all of the excitement of a newborn child, there are several tests that your baby will undergo shortly after birth while the baby is still in the newborn nursery. One of those tests is a hearing screening, which checks to see if the most basic parts of the hearing mechanism are intact. We will discuss the newborn hearing screening, how it works, what the results mean, and what you should do if your child has an abnormal test result.

  • Sibling Bullying: What to do when bullying happens inside your own home

    My older brother and his family were recently in town for a vacation. One afternoon, I sat with him, his wife, and my husband talking, while the kids played nearby. We talked and laughed about growing up, and my sister-in-law asked my brother and I, “Did you guys fight much as kids?”

  • What To Expect if Your Child Needs a Colonoscopy

    You might think colonoscopies are only for older adults to screen for cancer. But children sometimes have the procedure, too, to diagnose causes of abdominal pain, chronic diarrhea, rectal bleeding and unexplained weight loss.

  • What is a Certified Nurse-Midwife (CNM)?

    If you’ve ever felt a little confused about what exactly midwives do, or how they’re different than other healthcare professionals, don’t worry! Between physicians, physician assistants, nurse practitioners, and certified nurse-midwives, there’s a lot to keep straight.

  • Cutting and self-injury: what to do if someone you know is hurting themselves

    “Is it weird that I cut myself on purpose?”