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  • 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.

  • Is genetic testing right for my child?

    Angelina Jolie shared publicly last month her decision to have a preventive double mastectomy after genetic testing revealed that, due to a mutation in the BRCA1 gene, she carried an 87% risk of developing breast cancer and a 50% risk of developing ovarian cancer. Jolie identifies her mother’s decade-long struggle with ovarian cancer and death from that disease six years ago as one of the primary influences behind her decision.

  • Katie Karp is a cancer survivor.

    Katie Karp remembers the day when she was diagnosed with cancer very well. The diagnosis of osteosarcoma in her left leg was unexpected and quite a blow, but Katie was not going to let cancer win. She's a fighter. Through dozens of chemotherapy treatments and surgery that resulted in 11" of her thigh bone being removed, Katie persevered. Watch her amazing story and how she's used her experience with cancer to help children currently going through their own battle.

  • 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.

  • What is hand, foot, and mouth disease?

    If you’re the parent of small children, odds are you’ll become familiar with hand, foot, and mouth disease at some point. It’s fairly common, but not nearly as serious as its name might suggest.

    What is Hand, Foot, and Mouth Disease?

    Hand, foot, and mouth disease is a viral illness that can affect anyone, but is most commonly seen in children under 5 years old. Along with the usual symptoms of a virus- fever, irritability and lack of appetite- children often develop small blisters or red spots on the palms of their hands and soles of their feet. Blisters may also be found in the webs between fingers and toes, or on the buttocks, and can resemble chickenpox. Children also will develop small, painful ulcers in their mouth and on their tongue.

  • What is a Certified Nurse-Midwife (CNM)?

    If you’ve ever felt a little confused about what exactly midwives do, or how they’re different than other healthcare professionals, don’t worry! Between physicians, physician assistants, nurse practitioners, and certified nurse-midwives, there’s a lot to keep straight.

  • How my son’s diagnosis is changing me

    Other than the occasional cold and runny nose, both of my children have been perfectly healthy. Until now, that is. Last week, my 7-month-old son had a severe reaction after eating eggs, and he’s been diagnosed with an egg allergy.

  • Is it a speech problem or something much more? Learn about Childhood Apraxia of Speech.

    Many children are diagnosed annually with a developmental speech sound disorder because they can’t say their r’s or say things like “tat” for “cat”. It is reported that the occurrence of speech sound disorders ranges from 2% to 25% of children aged 5 to 7 years old. These speech issues are considered developmental because they follow a typical developmental pattern in the early stages of speech development, but for whatever reason, do not correct themselves by a developmentally appropriate age. Most of these children can improve these issues with traditional therapy services provided by a licensed speech pathologist. However, in approximately 3-4% of those children referred for a speech sound disorder it is a much more complicated issue known as Childhood Apraxia of Speech (CAS).

  • How to know if your child is getting enough water during these summer months

    For kids, summer days mean no school and more time to play outside with friends. And while it’s important for kids to stay active throughout the day for optimal health, it’s equally important to ensure they are drinking enough water for proper hydration, especially during these hot and humid months! It is easy for kids to become mildly dehydrated without even knowing it, which is a reason for concern given that adequate hydration helps a child function more optimally physically and mentally.

    Let’s look at some facts:

    50% of children in the U.S. do not drink enough water 25% of children do not drink plain water at all Boys are 76% more likely to be dehydratedDr. Safder, pediatric gastroenterologist at Arnold Palmer Hospital, recently appeared in a news segment to offer tips to parents on how to make sure their kids are drinking enough water.

    Here are the signs she says to look for:

    Excessive thirst Fatigue Dry mouth Headaches Child is not sweating enough Warm body temperature Urine is dark yellow and concentrated Child is not performing as well in school as he or she normally does*A child can develop kidney stones as a result of dehydration, which can be painful and uncomfortable for your child.

  • What it means if your child fails his/her newborn hearing screening

    Amid all of the excitement of a newborn child, there are several tests that your baby will undergo shortly after birth while the baby is still in the newborn nursery. One of those tests is a hearing screening, which checks to see if the most basic parts of the hearing mechanism are intact. We will discuss the newborn hearing screening, how it works, what the results mean, and what you should do if your child has an abnormal test result.