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  • 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.

  • Want a Happier Baby? Adopt a Sleep Schedule

    Sleep deprivation is one of the main challenges of parenthood. How much a baby needs to sleep and how much they want to sleep are often two different things. This often results in a tired, cranky child and tired, frustrated parents.

  • Movies are more violent than they used to be

    My daughter’s fourth birthday is coming up soon. A few days ago as we were driving home from school, I asked her what type of presents she might like for her birthday. I knew the grandparents and great-grandparents would soon be asking so I’d better get some ideas.

  • An interview with the most influential person that shaped my experience at Winnie Palmer Hospital: My labor nurse

    Winnie Palmer Hospital is a special place to me because it is where both of my children were born. In December of 2009, my husband and I welcomed a beautiful baby girl. Although it took me nearly four years to convince myself to go through it all again, we welcomed a sweet little boy this past August.

  • Kids and Suicide: How Parents Should Talk About It

    It can be difficult to approach the topic of suicide with your children when you suspect they are depressed or deeply upset. You might be afraid if you bring it up, it will make your child more likely to attempt suicide. That’s not true. In fact, talking is a key factor in protecting your child.

  • Is Your Teen Using Social Media Too Much?

    At the dinner table. Watching TV. While out with friends.  Teenagers are constantly using social media, and that might not be good for their mental health.

  • Pain Relief: Is TENS Right for Your Child?

    Relieving your child’s pain doesn’t always mean taking medicine or having surgery. Simple TENS units, which have become more popular in recent years, offer a safe, noninvasive alternative for many kids.

  • Small changes in sleep habits can reap big rewards

    Could sleep (or lack of) be to blame for your child’s behavior at school?

  • How to build self-esteem in your child

    As parents, we want everything for our kids. We want them to be safe, happy and confident. We want them to believe in themselves and never give up. We want them to succeed and feel proud of themselves. We want them to have good self-esteem.

  • The benefits of finding a good support group

    As a Licensed Clinical Social Worker at The Hewell Kids’ Kidney Center at Arnold Palmer Hospital, I have many teenage patients express to me that they feel lonely, isolated, and different. They feel that that no one understands what they are going through, and sometimes, they don’t even know what they are going through, or what to expect in the future. They express feelings of grief from losing some of the freedom they once enjoyed and the carefree attitude they once had. Many of these young patients show symptoms of depression and anxiety, too.