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  • Should my family eat cantaloupe?

    On September 14, 2011, the FDA announced that Jensen Farms issued a voluntary recall of its Rocky Ford-brand cantaloupes after being linked to an outbreak of listeriosis. Although Jensen Farms is located in Colorado, their cantaloupes have been shipped to multiple states, and many reports of listeriosis have been linked to these cantaloupes. As of October 6, 2011, a total of 109 cases of listeriosis associated with these cantaloupes have been reported to the Centers of Disease Control (CDC), and 21 deaths have been reported. One pregnant woman was affected and had a miscarriage as a result of infection. Cases have been reported in 24 states, and all symptoms have been reported on or after July 31, 2011. This outbreak has been one of the largest outbreaks of listeriosis in the United States since 1989. So far, no cases of listeriosis associated with the Jensen Farms cantaloupe have been reported in the state of Florida.

  • Giving thanks and giving back

    Haley Kestory understands what it means to be truly thankful.

  • Itches and sneezes: Understanding allergies in children

    As I prepare to write about allergies, my poor daughter is sitting next to me sniffling away, red-eyed, stuffy-nosed, and miserable. If you don’t live with allergies yourself, it can be hard to understand how bad this common medical problem can make people feel. But allergy sufferers know that as their season draws near, they can count on disrupted sleep, trouble smelling and tasting food, itching out of their skin, and blowing through boxes of tissues.

    Types of allergies

    Allergies can be perennial, meaning all year long, or they can be seasonal. Perennial allergies are to things like: pet dander, dust mites, molds, and, believe it or not, cockroaches. Here in Florida, where humidity reigns, most of these allergens are everywhere. Seasonal allergies are pollen allergies, and involve trees, shrubs, grasses and weeds. In Florida, where things bloom and pollenate year-round, some unfortunate allergy sufferers can react to multiple pollens during multiple seasons, with little relief between seasons.

    Symptoms to look for

    Symptoms of allergies are many, and are sometimes hard to tell from viral or other illnesses. A common cold follows a rather predictable course: sore throat with or without fever at first, followed by runny nose, followed in another few days by cough. Things get worse over the first week, and then improve over the second week. The flu is marked by high fever and body aches. The hallmark of allergy is the lack of fever, itching of eyes, nose, throat, and/or skin, and the ups and downs of symptoms. Some people have classic allergic rhinitis, with itchy, sneezy, runny nose. Some have allergic conjunctivitis, with red, runny, itchy eyes. Some patients have maddening itching in the back of the throat.  Cough is common in allergy sufferers, and can be from post-nasal drip or from bronchospasm (allergy-induced-asthma is wheezing caused by allergic inflammation). Some allergy sufferers also have itchy dry skin, or eczema.  Complications of allergies can include infections of the ears, sinuses, lungs, and skin.

    How are allergies treated?

    Treatment of allergies may involve determining triggers and eliminating or preventing whatever you can. Sometimes, identifying triggers is easy; for example, if every time your child visits grandma and curls up with the cat she starts to tear and sneeze, your child is allergic to cat dander. You don’t need a test to prove that. On the other hand, allergy tests, which can be blood tests and/or skin tests, can be very helpful in patients with severe symptoms. For example, if your child is often congested and has recurrent sinus or ear infections and turns out to be allergic to dust mites, you can remove carpeting and curtains from his bedroom, encase his mattress and pillow in allergy-control casings, limit plush animals in his bed to one or two, and even run a dehumidifier to kill dust mites. Prevention is considered to be preferable to treatment with multiple medications.

  • Are you concerned about bedwetting?

    It makes me sad as a pediatrician to see families who stress over children who wet the bed. This is usually a normal, natural issue that goes away in time, yet it can really hurt children who are treated like it is their fault.

  • 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.”

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

    Written by Heather Shields

  • It’s flu season! Here’s what you need to know.

    This post was written by Dr. Tom Ruffin, pedatric resident at Arnold Palmer Hospital

  • 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.

  • Summer is coming!

    As a child, those three words thrilled me to no end. As a parent, if I’m being honest, they bring anxiety, stress and frustration. My son attends a local public school. The 2014 summer vacation stretches on from June to August for TEN WEEKS. It’s wonderful for the kids, but for me it means TEN weeks that my husband and I have to arrange to take time off of work, beg family to come babysit, and find suitable summer camp options for our son to attend. My husband and I both work full time, so neither of us are available to be home everyday. It’s not easy.

  • Get to know Dr. Robyn Cohen, pediatric neuropsychologist at Arnold Palmer Hospital

    A lot of times, people assume that psychologists only work with mental health patients and are constantly assessing their patients’ state of mind. However, as a pediatric neuropsychologist, Dr. Cohen’s role at Arnold Palmer Hospital is quite different than you might expect. Learn more about Dr. Cohen, PhD, Director of Pediatric Neuropsychology at Arnold Palmer Hospital, and the role her team plays in the treatment of our patients at the hospital.

    Where did you grow up?

    I grew up on Long Island, New York.

    Where did you go to undergraduate school?

    Rollins College in Winter Park, Florida

    What is the process like to get a neuropsychology degree?

    It’s a long process. I actually started off at Rollins with an education major. During my program, I took some psychology courses and decided they were a lot more interesting, so I switched to a psychology major.