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  • Halloween in 2020? It’s Different, Not Canceled

    Many parents are wondering if their families can celebrate a healthy Halloween during a pandemic. The good news is, with creativity and reasonable precautions, you can. Doing so means you’ll practice the same everyday preventive measures: physical distancing, proper handwashing, mask wearing when unable to keep a distance of six feet in public and avoiding large crowds. 

  • To know Jenna is to know love

    Jenna is 11 years old, but wise beyond her years. She loves fiercely and unconditionally, because she has been loved fiercely and unconditionally. Jenna has fought for her life many times, but she lives each day in peace, full of kindness and laughter. She is surrounded by the love of her devoted family: her mom Kristi, dad Bruce and older brother Jared. Together, they have faced challenges they never expected.

  • Andrew's story- finding joy in unexpected places

    Just days before going into labor on December 23, 2007, Steve and Betsy were anxiously awaiting the birth of their little bundle of joy. All of their doctor’s visits and checkups had been normal, and they were expecting to bring home a healthy, happy baby just a few days after giving birth. Like many other first-time parents, they felt nervous, excited, and a little scared as they awaited the new addition to their family. What they didn’t know was that they were about to go through the most challenging time of their lives.

  • The vaccine schedule is safe and effective

    Pediatricians often hear from parents that they are worried about giving too many vaccines at one time and “overloading the immune system” of their infant. As a result, parents ask to “spread the vaccines out more.” As pediatricians, we know that the vaccine schedule outlined by the Centers for Disease Control and Prevention (CDC) and recommended by nearly all pediatricians is safe and effective. We don’t understand how some rogue physicians and some well-meaning, but ignorant public figures can contradict good science and suggest that the vaccine schedule that we use is unsafe.

    All scientific evidence says that the vaccine schedule

    is indeed safe and very effective.

    Many people draw the conclusion that it must be dangerous to give vaccines all at once. But in fact, that could not be further from the truth. There are very specific reasons that we use each vaccine the way that we do, both when they are started, and how and when they are repeated. What I will give you in this post and in subsequent posts is hopefully a clear, understandable explanation of the design of the CDC’s recommended immunization schedule.

    The Hepatitis B Vaccine

    The hepatitis B vaccine is the one immunization that we routinely give as soon as a baby is born. This is for two reasons. First, it works that early. Newborns’ immune systems are already up and running and are able to respond to the hepatitis B vaccine and make antibodies right away. This is a very fortunate thing, as many of our vaccines don’t work in a newborn body. What we know about hepatitis B is that almost all cases in children are caused by spread from an infected mom during birth. Many moms who are carriers of hepatitis B are missed during pregnancy or in the hospital, either due to lack of prenatal care, lab error, or lack of communication. The amazing thing is that the one dose of hepatitis B vaccine, if given right after birth, is essentially perfect in preventing infection of the newborn. The birth dose of hepatitis B vaccine saves lives every day. The other nice thing about that vaccine is that there are essentially no relevant side effects, not even fever or discomfort.

    The Two-Month Wellness Visit

    We start our next routine vaccines at the two-month wellness visit. When we immunize we want to be sure that enough of mom’s antibodies are out of the newborn’s system and that the newborn’s immune system has matured enough to respond to our vaccines. We know that in the first month or more, some of the vaccines don’t work well yet. However, by six to eight weeks they work very well; this is why the DTaP, Polio, HIB, rotavirus, and pneumococcal vaccine series start when they do.

    This is NOT because the immunizations would

    “overwhelm” the immune system if given earlier.

    They just would not be effective.

    Of note, the most common and relevant side effects of the vaccines given to infants are a little bit of diarrhea or throw-up from the rotavirus vaccine, and maybe a little fever, fussiness, or local reaction in the thigh muscle for the others.

    The MMR Vaccine Controversy

    The MMR (measles, mumps and rubella) vaccine is one that has received a lot of attention since it was wrongly accused of causing autism.

    In fact, vaccines have clearly and repeatedly been shown

    not to cause autism or other developmental disabilities.

    And yet, many parents still believe that we wait to give the MMR until a year of age because it might be harmful if given earlier. They then wonder if waiting even longer might be even better. The problem is that the younger you are when you get the measles, the sicker you get and the more likely you are to die. Our goal with the MMR is to protect small children as young as we possibly can, and to reduce the spread of disease in our communities.

  • Itches and sneezes: Understanding allergies in children

    As I prepare to write about allergies, my poor daughter is sitting next to me sniffling away, red-eyed, stuffy-nosed, and miserable. If you don’t live with allergies yourself, it can be hard to understand how bad this common medical problem can make people feel. But allergy sufferers know that as their season draws near, they can count on disrupted sleep, trouble smelling and tasting food, itching out of their skin, and blowing through boxes of tissues.

    Types of allergies

    Allergies can be perennial, meaning all year long, or they can be seasonal. Perennial allergies are to things like: pet dander, dust mites, molds, and, believe it or not, cockroaches. Here in Florida, where humidity reigns, most of these allergens are everywhere. Seasonal allergies are pollen allergies, and involve trees, shrubs, grasses and weeds. In Florida, where things bloom and pollenate year-round, some unfortunate allergy sufferers can react to multiple pollens during multiple seasons, with little relief between seasons.

    Symptoms to look for

    Symptoms of allergies are many, and are sometimes hard to tell from viral or other illnesses. A common cold follows a rather predictable course: sore throat with or without fever at first, followed by runny nose, followed in another few days by cough. Things get worse over the first week, and then improve over the second week. The flu is marked by high fever and body aches. The hallmark of allergy is the lack of fever, itching of eyes, nose, throat, and/or skin, and the ups and downs of symptoms. Some people have classic allergic rhinitis, with itchy, sneezy, runny nose. Some have allergic conjunctivitis, with red, runny, itchy eyes. Some patients have maddening itching in the back of the throat.  Cough is common in allergy sufferers, and can be from post-nasal drip or from bronchospasm (allergy-induced-asthma is wheezing caused by allergic inflammation). Some allergy sufferers also have itchy dry skin, or eczema.  Complications of allergies can include infections of the ears, sinuses, lungs, and skin.

    How are allergies treated?

    Treatment of allergies may involve determining triggers and eliminating or preventing whatever you can. Sometimes, identifying triggers is easy; for example, if every time your child visits grandma and curls up with the cat she starts to tear and sneeze, your child is allergic to cat dander. You don’t need a test to prove that. On the other hand, allergy tests, which can be blood tests and/or skin tests, can be very helpful in patients with severe symptoms. For example, if your child is often congested and has recurrent sinus or ear infections and turns out to be allergic to dust mites, you can remove carpeting and curtains from his bedroom, encase his mattress and pillow in allergy-control casings, limit plush animals in his bed to one or two, and even run a dehumidifier to kill dust mites. Prevention is considered to be preferable to treatment with multiple medications.

  • When Your Child’s Nosebleed Is Serious

    Seeing your child with a nosebleed can be scary, but try to remain calm. Most nosebleeds look much worse than they really are and can be treated at home.

  • Tragedy in Aurora: talking to your kids about violence in the news

     I am an overprotective, careful parent - a big fan of seat belts, bike helmets, and sunscreen. I think I’m probably a little more overprotective and careful than some parents, and I know this about myself and try to keep it in check. I try not to stifle my child’s natural sense of adventure and curiosity. However, I want to keep any and everything that could be dangerous or hurtful away from my little boy.

  • Kids should sleep in. Schools should start later, say pediatricians

    If you have a middle or high school student in your home, you may have noticed that their sleep habits have changed as they’ve entered adolescence. They stay up late, find it hard to get up early in the morning and struggle with sleepiness throughout the day. Take heart. It’s not that your kid is being lazy or rebellious. There are real, biological changes happening in their bodies as they mature that make getting enough quality sleep a real challenge.

  • Getting Sick May Help Your Child Later in Life

    As a parent, it’s natural to worry when your child gets sick. But understanding how infections affect the immune system – and that they can actually keep your child healthier later on – can help ease your concerns.

  • Is It Grief or Depression? How to Tell the Difference

    Grief is a common, expected experience as a child or teenager processes difficult life circumstances. Depression, however, is a mood disorder that can be prolonged and serious. Because depression left untreated can be harmful and lead to suicidal or other risky behaviors, recognizing the difference between the two is vital.