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  • Decoding the FDA’s new gluten-free labeling law

    This blog post was written by Dr. Karoly Horvath, pediatric gastroenterologist at the Center for Digestive Health & Nutrition at Arnold Palmer Hospital.

  • September is Childhood Obesity Awareness Month

    It’s nice to finally see the sun peak through the clouds when it comes to obesity rates in children. A recent report from the CDC reveals a decline in obesity rates among preschool children from low-income families. The report shows that from 2008 to 2011, there was a downward trend in obesity rates for young children in 19 states, including Florida.

  • Are my child’s speech and language skills developing normally?

    Written by Faye Stillman, MS, CCC-SLP/ATP and Carla Hall, MA, CCC-SLP, Speech/Language Pathologists from the Outpatient Rehabilitation Department at Arnold Palmer Hospital. 

  • Dr. Simms-Cendan answers: “When should I take my teenage daughter to the gynecologist?”

    Many parents wonder when they should take their daughter to a gynecologist. Is it with their first period? Is it when they become sexually active? When do they need a pap smear? Some women dread their own appointments and worry their daughters will have a traumatic experience. Well, the good news is that gynecologic care for adolescents has come a long way, and teens can be provided with important information in a sensitive and caring way, and many girls do not even need a pelvic exam!

    What’s Normal?

    First, let me cover a bit of what’s normal. Most girls begin breast development around 10-11 years of age, and the average age girls start their periods in the U.S. is about 12.5 years. Most girls will bleed 5-7 days and cycles occur every 25-40 days. If a girl hasn’t started her period by age 14, she should be evaluated, and although some girls just need more time, others may have a real problem. Many girls have irregular menses for the first 2-4 years after they start their periods, but if a girl has been bleeding more than 10 days per month, they should be evaluated to prevent problems with anemia. I’ve seen girls who have bled for 6 months before seeing a gynecologist and some have been so anemic by then that they required blood transfusion. Most girls will notice an increase in menstrual cramps about two years after they start their periods, as this is when they start to actually ovulate. Severe cramps so that a girl is missing school are not normal and she should also be seen. Finally, if a girl has had regular menses and then the menses become irregular, skipping months or becoming more frequent, she should also be evaluated. Sometimes there is a hormonal disorder that needs to be evaluated.

  • Putting Acceptance to the Test

    Back in February, Susie Raskin wrote a great blog called “ and she talked about creating a balance between wanting the best for our children, encouraging them to achieve and allowing them to find their own path. When I read her post, I thought I should write about what it’s like to parent a young adult and put my good intentions about acceptance to the test as he makes his own choices. The truth is, though, I have been in the midst of NOT accepting my son’s choices and trying to rationalize my thinking.  And now here I am, more than six months later, still wrestling with the dilemma.

    Teaching your children to think for themselves is a good thing, right?

    When Brandon first came to live with us, he would often try really hard to please us. We were concerned about it because we didn’t want him to feel like he had to be good enough to be our child. This can be a hazard for children who are adopted, especially if they are adopted after infancy when they can remember being in temporary care with relatives or a foster family. In those early days, he would try to be “really good” and he usually succeeded. However, there were times when he would get stressed or upset and melt down into a tantrum or fit of rage. After we came out the other side of those episodes, we intentionally reassured him and made sure we talked about us being a forever family, saying we were going to stick together no matter what.

  • Should I worry about my child’s stuttering?

    We both remember the days when our daughters were so excited and had so much to say all at once that their mouths couldn’t keep up with the thoughts soaring through their little minds. We recall how they would get stuck on words or phrases such as, “and then, and then, and then.”

  • 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.

  • 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.

  • Webinar with Dr. Amy Smith and her team at the Pediatric Brain Tumor Program

    Once a child has completed treatment for a brain or spinal tumor, what comes next? This week, we hosted a webinar with Dr. Amy Smith, pediatric neuro-oncologist at Arnold Palmer Hospital for Children, and discussed how families make the transition from treatment to long-term follow-up. Dr. Smith and her team at the Pediatric Brain Tumor Program explained some of the ongoing physical, emotional and intellectual challenges that a child might face as a result of their disease and treatment. We also highlighted some of the hurdles that families face when children re-enter the school environment and as the child enters adolescence and adulthood. Learn more about how to help your family navigate this next part of the journey.

  • Get to know Dr. Bornstein, pediatric gastroenterologist at Arnold Palmer Hospital

    As chief of the Pediatric Center for Digestive Health and Nutrition at Arnold Palmer Hospital, Dr. Jeffrey Bornstein has been an integral part of our medical team for more than 14 years and has helped thousands of children with gastrointestinal disorders. We sat down with Dr. Bornstein to find out a little more about the man behind the medicine. Here’s what he had to say:

    What exactly do gastroenterologists do?

    We take care of patients who have problems with their liver, stomach or intestines. Some are minor and often get better, like babies with reflux or children with constipation. Many people have abdominal pain or stomach aches. Others are more serious - patients who are unable to eat, or who have inflammatory bowel disease (inflammation in the intestines or colon), or who have liver problems.

    Where did you grow up?

    I grew up in Brockton, Massachusetts about 30 miles outside of Boston.

    Where did you go to school?

    I received my bachelor’s degree in mechanical engineering from MIT in 1985 and then went on to medical school at George Washington University in Washington D.C. I then continued with a pediatric residency at the U.S. Air Force Medical Center and a Pediatric GI and Nutrition fellowship at Walter Reed Army Medical Center.

    What hobbies do you enjoy outside of work?

    I play basketball, and I also enjoy reading. James Michener is my favorite author. I like to do yard work and gardening, and I love to cook.

    What's your dream vacation?

    One month of touring Europe and ending in Israel.

    Do you have a favorite book?

    Lord of the Rings. I read the trilogy with my son when he was in 5th grade. We've shared the books and movies as a special bond since then.

    How about a favorite movie or TV show?

    I don't have a favorite, but I prefer comedies- happy shows and movies. My work days are filled with worrying about my patients. I don't like to see bad things happen to people when I don't need to, even if it's not real.

    Do you have a favorite sports team?

    I'm a Boston boy, so the Celtics, of course!

    If you could meet anyone (alive or not) who would it be?

    The answer to that question has changed, as I've gotten older. At one time, it was sports heroes, and then it was our ancient rabbis. Now, I think that I'd like to meet Ghandi and be able to better understand inner peace.

    Why did you choose pediatric gastroenterology as a specialty?

    It allows me to see patients with many different types of problems. For most of them, I can help make them better. Many of my patients have chronic diseases. I may not be able to cure them, but I can play a part in making them, their quality of life and their family's life, better. I get to have long relationships with many of my patients and their families. I also get to do procedures, which offers a little bit of change from the office.

    What do you enjoy most about your job?

    My relationships with my patients and their families.

    What's one thing that your patients and their families probably don't know about you?

    I love to cook and entertain family and friends.

    Do you have a favorite memory from working at Arnold Palmer Hospital?

    I don’t have a single favorite memory, but the memories that make me feel best are when a patient or family tells me thank you because I have affected their lives in a positive way.