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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.

  • New Recommendations for Treatment of Ear Infections

    One of the most common illnesses in U.S. children is acute otitis media (AOM), which is a type of ear infection when the middle ear becomes infected. This type of ear infection is the most common condition for which antibiotics are prescribed for U.S. children. The American Academy of Pediatrics (AAP) has recently updated its recommendations to physicians taking care of uncomplicated ear infections in children ages 6 months to 12 years. This new clinical practice guideline will be published in the March 2013 Pediatrics journal. These new guidelines help provide a more specific and stringent definition of a middle ear infection, pain management guidelines, recommendations for initial observation versus immediate antibiotic therapy, and preventive measures.

    What is an ear infection?

    Usually, a child will get an upper respiratory infection or a cold, and the middle ear can become inflamed. Fluid may build up and become trapped in the middle part of the ear during an acute illness. The tube that helps drain fluid from the middle ear to the back of the nose is called the Eustachian tube, and this tube is smaller and more horizontal in children as compared to an adult’s. So when a child becomes ill with a cold, it is more difficult for this fluid to drain out and bacteria can possibly grow in this fluid that is trapped behind your child’s eardrum.

    How do I know if my child has an ear infection?

    Symptoms of an ear infection may include: Fever Headache Difficulty sleeping Difficulty hearing Crying more than usual Fluid draining from the earThese symptoms may be difficult to detect. If your child has a cold and any of the above symptoms, your doctor will be able to use an instrument called an otoscope to look at your child’s ear drums to diagnose an ear infection.

    If my child has an ear infection, do I need a prescription for antibiotics from my doctor?

    The surprising answer is that your child may not always need antibiotics for an ear infection. In treating non-severe ear infections, less may actually be more because our body’s immune systems can usually handle and take care of ear infections on its own. Studies have shown that children with ear infections usually report similar symptoms after about ten days, whether or not they received or did not receive antibiotics.

  • The Orlando Repertory Theatre offers special showing of “The Cat in the Hat” for children with autism

    Into the gray nothingness of a dull, rainy day pops the boisterous Cat in the Hat, ready to play. He says,

    "I know it is wet

  • 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.

  • Why I am inspired to be a part of the Orlando Health family: Lindsay's story

    This story is written by Lindsay Wiseman, Digital Communications Intern at Arnold Palmer Hospital. 

  • 3 Things to Know About Baby’s Tummy Time

    1. Tummy time is an important playtime for babies!

    Tummy time is playtime for babies when they are awake. When your baby is awake and can be supervised by an adult, they should be placed on their tummy on a firm surface for about 5 minutes to play. This activity can start as soon as you bring your baby home from the hospital, and babies should have tummy time about 2 to 3 times per day. Tummy time helps strengthen a baby's muscles.

  • As extracurricular activities get underway, remember what’s important

    As the school year revs into high gear again, our schedules have already begun to fill up with activities: sports practices and games, after-school clubs, tutoring, Boys Scouts, Girl Scouts, youth groups. Sometimes it feels like a full-time job just getting kids to and from all of their extracurricular activities. It’s not too difficult to become a slave to our children’s schedules.

  • Do your kids need a multivitamin?

    It’s hard not to agonize over what our kids eat. There are days when I meticulously pack a healthy lunch for my preschooler, and she comes home having eaten everything EXCEPT the fruits and vegetables. And sometimes, we’ll sit at the dinner table, and she’s not interested in a single bite. This is pretty normal toddler behavior, but it tends to make moms crazy. We worry that they’re not getting enough nutrients, enough good stuff to keep their growing bodies healthy, so it makes sense to ask the question: do they need a multivitamin?

  • Gearing up for hurricane season

    Every afternoon, as the dark clouds roll in, I can’t help but wonder, “when will this rain ever go away?” But, if you live in Florida, like I do, you have probably accepted the fact the rain is here to stay. And on the days when the thunder and lightning seem unusually intense, I often anticipate a potential hurricane on the horizon. Yes, I said it – hurricane. Hurricane season officially began June 1st and is expected to last until November 30th. And weather experts are already projecting this year’s hurricane season to be a bumpy ride – estimating as many as six storms that could result in major hurricanes.

  • Going back to school and back to the pediatrician

    Since the start of school is right around the corner for families in central Florida, many of us will be taking our children to the pediatrician for an annual visit. Even if your child is completely healthy and hasn’t been sick in a very long time, it is still important to call and make that appointment with the pediatrician every year. I would recommend calling earlier in the summer to schedule an appointment with your pediatrician, since there are usually fewer sick children that come in over the summer, and more appointment times may be available. You will also avoid the big rush of patients trying to see the doctor for annual check-ups right before school starts in the fall.