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  • Should I give my child probiotics?

    Did you know that your digestive tract contains over 400 different types of bacteria? This complex ecosystem is called intestinal microflora. The concentration of bacteria in the gastrointestinal tract increases dramatically moving from the stomach towards the colon. In humans, the intestinal microflora is vital in many important functions including digestion of nutrients and prevention of infection. Disruption of the “normal flora” can lead to many problems including diarrhea, bloating, abdominal pain and poor absorption of nutrients.

    What is a probiotic?

    Probiotics are “friendly bacteria” or “good bacteria” similar to those that occur naturally in the digestive tract. A few years ago, the defined “probiotics” as “live microorganisms which, when administered in adequate amounts, confer a health benefit on the host.”

  • Surviving a preschooler’s separation anxiety

    I’ve come to believe that separation anxiety is the straw that breaks the backs of many moms. We can carry our heavy loads through many child-rearing deserts, but we Mom-camels collapse under the pressure of children suffering from separation anxiety. Our children cry as we leave them, and we cry our guilty little hearts out as soon as we are out of our children’s sight. We are left with those lingering questions: Should I leave them? Are they going to be okay? Am I a terrible mother for leaving my child?

  • What to expect at your child's therapy evaluation

    Your child has been referred to Occupational Therapy, Physical Therapy or Speech Therapy. So, what's next? First of all, don't dread this appointment. Therapists can be a wealth of information and you will leave that first appointment with some useful tools. Part of a therapist’s job is to share valuable information with you about your child- both their strengths and weaknesses. Their job is to help your child reach their maximum potential and equip you to be an expert about your child’s abilities. This is a good thing.

    For All Evaluations

    Bring your child in comfortable clothing that allow full movement Make sure they are well rested Bring any specific equipment they use such as walkers, splints, or communication devices Be prepared to share concerns you or your doctor may have Provide a list of their medications Be prepared to leave for part of the session if asked (so that therapist can build rapport and see how your child works on their own)

    What to bring for Feeding Concerns

    A hungry kiddo Food you’re sure your child will eat Food you have tried to give your child but they haven’t accepted A drink your child typically accepts: bottle, sippy cup, straw cup, etc. A list of their allergies or recent notes from any specialists

    What to Bring for School Related Concerns

    A copy of their 504 Plan, IEP, Behavior Contract or Health Plan A letter from the teacher expressing any specific concerns (if possible) A sample of their written work from class (if this is a concern) Report a from the school psychologist or therapist (if it’s available)

    During the Evaluation

    Let the therapist take the lead but feel free to comment if you feel your child is not showing their full potential. Be as specific as possible. Remember, you are the expert on your child and the therapist is getting a one-time snapshot. Any information on how your child typically functions is very much appreciated. During the evaluation, your therapists will gather valuable information on how your child responds- or doesn't respond- to certain tasks. The therapist is likely to approach your child in a specific way to achieve a desired outcome. For this reason, resist the urge to help your child complete tasks presented. Remember, therapists are looking to build rapport with your little one and form a partnership with you to ensure your child’s success. They’ll definitely let you know if they need you to jump in and help out.

    After your Evaluation

    Ask the therapist for their professional opinion on what strengths they observe in your child and what areas of concern they have. Would they recommend referrals to other professionals or further testing? If therapy is recommended, how often will they need to be seen to achieve their goals? What skills does the therapist see your child achieving through their intervention? How much work at home will be required to achieve these results? Although most of the recommendations will come during your child’s treatment sessions, you can still leave the evaluation equipped with something beneficial for your child. Ask for a few suggestions on what you can work on at home while you await your first therapy session. Therapists want to build your child’s skills and maximize their strengths so they’ll have great suggestions for toys and fun activities to help your child achieve their goals.

  • What we do now may affect our future children’s genetics

    We are all aware that mothers who smoke while they are pregnant run a higher risk of having children who are premature, smaller than they should be, or stillborn. This is likely due to reduced oxygen supply to the baby through mom’s diseased body and to toxins shared by mom with baby. We also know that children who are exposed to second-hand smoke have a higher risk of developing respiratory diseases like asthma, chronic lung disease and even cancer due to direct lung damage from inhaled smoke.

    What you do with your body early in life can affect future generations

    But recent data suggests that a father’s behavior even years prior to conception may affect the health of his children and future generations. For example, early paternal smoking has been associated with increased body mass in children. Paternal alcoholism has been associated with smaller birth weights in babies, and hyperactivity in children. Most recently, smoking even early in life has been found to be associated with an increased risk of certain forms of asthma in a man’s children. A study which was recently presented at the European Respiratory Society International Congress looked at 13,000 men and women and found that non-allergic asthma was significantly more common in children whose fathers smoked before the age of 15. In addition, the longer the father smoked, the higher the risk of his child having this kind of asthma. Interestingly, the same link was not found in children whose mothers smoked before they conceived.

  • A survivor of childhood cancer, 25 years later: Nessa’s story

    Twenty-five years ago in September of 1988, Nessa’s life was forever changed by words that weren’t talked about much back then: childhood cancer. After finding bumps on Nessa’s head and swollen lymph nodes, her mom knew something wasn’t right. After a trip to the pediatrician’s office, they were told to go to Orlando Regional Medical Center (ORMC) to see Dr. Vincent Guisti, a pediatric oncologist, to find out what might be causing these symptoms. Since the visit required an overnight bag, Nessa’s mom, Carol, knew it wasn’t what she’d first suspected – it was something much more serious.

    Receiving a heart-wrenching diagnosis

    Nessa was eight years old and in the third grade at a local elementary school. That day was picture day- a day that many girls prepare for by selecting their best school outfit and making sure their hair looks just right. As her mom was combing Nessa’s hair, she noticed little bumps on her head, and Nessa had been saying she wasn’t feeling well. The next morning, Carol knew something wasn’t right after Nessa woke up with swollen lymph nodes. Thinking it might be a case of mononucleosis, they visited the family’s pediatrician, where they were told to go to ORMC to see Dr. Guisti, a pediatric oncologist.

  • Giving back to the hospital that changed our lives

    Written by Heather Shields

  • How I’m teaching my child to treat others with special needs

    I was with my two kids recently at an indoor play place when a teaching moment happened upon us. We saw a little boy there with his mom, and he was sitting in a wheelchair. My 4-year-old looked at him curiously and then asked (in a rather loud voice), “Mom, why is he sitting in that chair instead of walking?”

  • 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.

  • Blessed with tiny treasures: Carson and Kendall’s story

    Written by Heather Shields

  • Are we parenting from the rear view mirror?

    Over the past couple of weeks, the back-to-school rush has been in full swing. New schools, new milestones, new sports activities- it’s the beginning of lots of new things for our kiddos and for us as parents. My Facebook feed has been filled with first-day-of-school photos displayed by proud parents (me included). But, along with those proud and joyful moments, there’s often a hint of bittersweet regret. Our kids are growing up too fast. Where did the time go? They aren’t babies anymore. I hear and see those phrases a lot.