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  • The Sticker Solution to a Sticky Situation

    Most people remember sitting at the dinner table as a child and working around their dinner plate, making sure to get every last piece of the good stuff, yet conveniently ignoring all of the vegetables. With crossed fingers, they hope their parents won’t notice and they would get by without having to touch the colored foods, but that never seems to work. Go figure!

  • Giving back to the twins' first home

    When Ritu and Raja Sandhu found out they were pregnant with twins in 2007, they were over-the-moon excited and looking forward to starting a family together. Following this exciting news, everything seemed to just fall into place. They were talking about baby names and dreaming about their twin’s future nursery, and they couldn’t have asked for an easier pregnancy. It was all happening so fast, yet they were about to be hit with reality a lot sooner than they expected when Ritu went into labor at 27 weeks.

  • Indoor tanning: Is it worth the “glow”?

    Most teen girls love a good tan. And even though some may know the dangers of indoor tanning, they continue to indulge in this risky behavior. But can you blame them? Society and the media have associated this sought-after golden hue with good health and beauty for years. Popular beauty and fashion magazines are usually graced with images of flawless women with that desirable “sun-kissed glow”. As these young girls navigate the road to try and fit in with their peers and build their self-esteem, we have a responsibility to teach them about the risks associated with their decision to visit the local tanning salon.

    Why might my daughter “tan”?

    For many teens, a tan makes them look good and feel good. Many girls agree with the statements, “I look better when I have a tan” and “I feel healthy when I have a nice tan”. Yet tanning of any kind, especially indoor tanning, is not healthy at all.

  • The FDA wants to ban trans fats.

    On November 7, 2013 the Food and Drug Administration (FDA) announced that it would like to ban trans fats in food.

  • Helping teens make the leap into adulthood

    Yesterday, I met an 18-year-old young man who was coming in for his yearly physical for the first time. He had previously been followed by a general pediatrician, but he felt it was time to move out of the pediatric care setting into a health home that specializes in caring for adolescents and young adults. “Why?” I asked. To this he responded, "Because I felt it was time. I am not a child anymore."

  • The HPV Vaccine: Questions, Facts, and Misconceptions

    What is HPV?

    HPV stands for human papillomavirus, and these viruses are the most common sexually transmitted viruses in the United States. Most of the people who are diagnosed with HPV are young and sexually active. The rates of HPV infection are high because most people who have HPV do not know they are infected because sometimes the virus shows no symptoms. Most HPV infections show no symptoms, and resolve within two years. However, there are many different strains of the HPV virus, and there are high-risk strains (HPV types 16 and 18) that are associated with cervical, anal, mouth, and throat cancers.

    What is the HPV vaccine?

    The HPV vaccine is a vaccine that can help protect your child against the high-risk forms of HPV that can cause cancer. It does not protect against every HPV strain (since there are more than 100), only 4 high-risk strains of HPV. The American Academy of Pediatrics recommends that girls AND boys receive the vaccine starting at ages 11-12. The vaccine is given three times over a period of six months. To receive the maximum amount of protection, your preteen should receive all three doses. The HPV vaccine can be given at the same time as other vaccines.

    Why should my child start receiving the HPV vaccine now? She’s so young!

    Many parents ask this question, because they are unsure about giving their preteen a vaccine that protects them against a sexually transmitted infection when he or she is not engaging in sexual activity. Parents will ask if the vaccine can be delayed until their child decides to start having sex. HPV vaccines offer the maximum amount of protection for your child when they are given in all three doses BEFORE your child begins to have any sexual activity with somebody else. One study has shown that almost 80% of infected teenagers have contracted HPV within 2 to 3 years of the first time they engaged in sexual activity.

  • Healthy breakfast cereals for the whole family

    How would you feel if your child ate cookies for breakfast? I am sure most parents would not approve. Surprisingly, many breakfast cereals have just as much sugar as a cookie, brownie or other desserts. Breakfast cereals are a great choice to provide our body with energy for the upcoming day, but it is important to make wise choices in the cereal aisle. A healthy cereal should be able to fuel your body with necessary nutrients that will help it grow and stay strong. Our body, just like a car, needs good quality fuel to keep it going throughout the day. When we put not-so-healthy food in us, we often feel run down, tired, cranky, and very hungry. In order to make wise choices, there are three key nutrition criteria that we should look for when purchasing cereal.

  • Emotional Eating: Parenting and its effect on our children’s eating behaviors

    I was asked to speak on TV recently about an article entitled “Eating Your Feelings? Your Mom Might Be to Blame.” Of course, for TV, the story had to sound catchy, so the TV host really played up the blaming mother and grandmother aspect. That made me sad; parenting is really a hard job and it is rough to be blamed for errors we make while doing our best. The data, though, really does suggest that how we were parented may affect eating behaviors and those of our children. The issue is important, since at least a quarter of preschool children in the United States are overweight. Obesity at the age of five is a very strong predictor of whether or not someone will be obese as an adult. So how we feed our young children and how we teach them to eat really matters for their whole lives. My take is that this information is not an opportunity to point fingers, but an opportunity to learn and to do better as parents.

    What the study has to say

    The article was based on a study done by researchers at the University of Illinois and published in the Journal of Developmental and Behavioral Pediatrics. It showed that primary caregivers (usually moms) who had an insecure attachment to their own mothers are more likely to have young children with unhealthy eating habits who are overweight or obese. “Insecure attachment” is a term from psychology that has to do with how we feel about parents who don’t respond consistently to our needs. Parents who grew up insecure tend to have more trouble dealing with their own children’s needs, especially when it has to do with negative things like distress, anger, or sadness. That in turn is connected with some unhealthy behaviors surrounding food and eating.

    Real life examples

    The study clearly showed that homes where children’s sadness or anger are dismissed are also homes where there are fewer family mealtimes, more television viewing time, and more “comfort feeding.” These behaviors are known to lead to obesity in even the youngest of children. For example, an overwhelmed mother might respond to a temper tantrum by feeding her toddler snacks to make him stop crying instead of using appropriate parenting techniques to deal with the tantrum. Another example might be the parent who puts her four-year-old in front of the TV to eat dinner instead of having a family mealtime, since the TV keeps the child quiet and makes her sit still longer than sitting at the table for dinner. Sadly, this also leads to overeating in the whole family.

    So, what do we do with this?

    Well, if you have a two-year-old who is already overweight, maybe there is room to work with your parenting behaviors around food. Look at how you respond to your child’s negative behaviors. Do you tell your child, “that’s nothing to be angry about?” Or do you find yourself saying, “don’t be sad?” Instead you could say, “I hear that you are angry” or “you seem to be sad.” It’s hard to do. If you need to, ask your pediatrician for suggestions to deal with (and to help your child to deal with) those negative feelings. Could you tolerate a little tantrum or some tears instead of abandoning the family table for a meal in front of the TV (we call it the brain sucker in my house)? Could you give up feeding your child snack foods or treats to console them when they are angry or sad? Could you let go of the expectation that your small child will sit still to eat and will clean her plate? Could you serve a healthy, well-balanced meal and deal with it if your “picky” toddler gives you a hard time about it or refuses to eat?

  • Solid foods 101: When and how to introduce to your baby

    Written by Summer Vu, DO

  • Helping families through a yellow bag of sunshine

    As a Customer Service Specialist at Arnold Palmer Hospital for Children, I often meet families who arrive at the hospital quite unexpectedly. They find themselves here for a two to three day stay after what began as a quick visit to the Emergency Department. They may manage to arrive with resources for their child, but are usually without any basic items to take care of themselves. As I move to assist families in such circumstances, my hand often reaches for a bright yellow bag of sunshine that reads: Paul’s Project.

    What is Paul's Project?

    In 2008, a young 4th grader, by the name of Paul Doussan, was given a school assignment to create and implement a community service project. At the time, his family friends, Karen and Mat Gliddon, had just lost their brave 5-year-old son Mathew to Acute Lymphoblastic Leukemia. Through his friendship with the Gliddon family, Paul noticed a need. Parents of critically ill children often end up without the basic resources to make it through an unexpected hospital stay.