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  • Talking with your teen about obesity: it's a tough job, but somebody's got to do it

    In my years as a mental health counselor for Teen Xpress, I have worked with many teenagers that are battling weight problems. Obesity often leads to low self esteem, anger problems and depression. Often, we see obese teens that also have obese parents and other family members. Obesity can be caused by medical issues, but when it comes to teens, it is frequently due to unhealthy behaviors and coping skills. I have known many teens that report coping with feelings of sadness and loneliness by overeating. The overeating leads to weight gain, which leads to further feelings of isolation and depression. Teens quickly find themselves in a vicious cycle of unhealthy habits and emotional discord.

  • Do you know the difference between a cold and the flu?

    Have your kids been sick lately?

  • Get to know Dr. Jeffery Johnson, pediatric nephrologist at the Hewell Kids’ Kidney Center

    The Hewell Kids' Kidney Center at Arnold Palmer Hospital oftentimes becomes a home-away-from-home for many children needing outpatient dialysis treatment in Central Florida. The Hewell Kids' Kidney Center cares for children who have been diagnosed with with kidney-related disease such as end-stage kidney disease and obesity-related kidney disorders, as well as those who have undergone a kidney transplant. The team consists of several pediatric nephrologists, nurse practitioners, renal nurses, nutritionists, and social workers. The team recently welcomed it's newest member, Dr. Jeffery Johnson, pediatric nephrologist, in June of this year. Get to know Dr. Johnson in the Q & A below!

    Where did you grow up?

    I grew up all over since my dad was in the Air Force. We finally settled in Ohio when I was in high school and then I moved to California in my adult years. I had lived in Los Angeles, CA for the past 14 years before moving to Orlando.

    Where did you go to school?

    For my undergraduate I went to Washington University in St. Louis, MO and then attended Case Western Reserve School of Medicine in Cleveland, OH for medical school.

    What did you want to be when you were a little kid?

    I wanted to be a soccer player, even though I was horrible! I didn’t know I wanted to go into the field of medicine until halfway through college. I thought I wanted to do medical research, but after I started doing it I realized it wasn’t for me. With medicine, there is something new every day, which keeps me going.

    What was your first job?

    I worked in a games department at a local amusement park. It was a lot of fun. I worked there in high school and through my first year of college.

    What are your hobbies?

    I run a lot – almost every day. Today I’ll be running eight miles. I like to scuba dive and travel. Bali was probably my most favorite place I’ve traveled to so far.

    What is your favorite sports team?

    The Cincinnati Bengals even they break my heart every year!

    How did you get into pediatric nephrology?

    It was when I did a pediatric nephrology rotation as part of my medical training that I knew that was what I wanted to do – it was very interesting to me.

    How did you know you wanted to work with kids?

    It was probably after my second or third month of working in the adult emergency room that I felt called to work in pediatrics. My mom and sister are both elementary school teachers, so I’ve spent most of my life being around and working with kids.

    When did you start at Arnold Palmer Hospital and what is it like working at the Hewell Kids’ Kidney Center?

    I moved to Orlando for this job and have been here since June 2014. One of the things I love about working here is the team that I am a part of. Everyone is fun and easy to work with. We usually all eat lunch together. It’s like a family here, which is evident in how we care for our patients. We take a team approach in being able to provide comprehensive care to our patients, and everyone is usually on the same page as far as what the protocol should be and what the treatment plan should look like.

    What is it like working with the whole family and not just the patient?

    It’s a fine balance, because I always try to acknowledge and engage the child while also working with the parents and families. But it’s something that I really enjoy. It might not always be an easy day at work, but being able to care for kids and knowing that I am helping them is a great feeling.

    What is one piece of advice that you always communicate to families and patients?

    I think one of the most important things in our patient population is for them to be taking their medicine. In our transplant population, most of them are on an immunosuppressant, and if they don’t take their medication for a few days, they could end up losing their kidney or having recurrent kidney disease. It’s important for me that they understand the importance of taking their medicine and that the family ensures that they will follow through with the treatment plan at home.

    What would you say has been your greatest accomplishment?

    I would say it was when I took over the dialysis unit at Children’s Hospital of Los Angeles. I had to basically redo the unit and start over from scratch, building it from the ground up.

    What is one thing that patients and families wouldn’t otherwise know about you?

    I want families to know that I am honest with them, whether I have good or bad news to share. I would want my physician to be honest with me, so I try and do the same for our families.

    Click here to learn more about the Kids’ Kidney Center at Arnold Palmer Hospital

  • Cutting and self-injury: what to do if someone you know is hurting themselves

    “Is it weird that I cut myself on purpose?”

  • What you must do to prevent medication errors in your home

    Every 8 minutes, a child experiences a medication error.

  • Get to know Dr. Karen Bender, pediatric anesthesiologist at Arnold Palmer Hospital

    Knowing that your child needs surgery can be difficult for any parent. One of the most frightening aspects for parents is knowing that your child will be under anesthesia. How will my child respond to the anesthesia? Will he or she recover well? Will you keep my child safe? These are just a few of the many questions that parents have as they prepare their child for surgery.

  • Webinar with Dr. Mehta and Nneka Ricketts-Cameron from the Center for Digestive Health & Nutrition

    Do you have Crohn's disease or ulcerative colitis?

  • Dr. Judith Simms-Cendan disproves common myths about the use of birth control pills

    As an adolescent gynecologist, I prescribe birth control pills (BCPs) for a variety of reasons often unrelated to sexual activity, such as treatment of irregular, heavy or painful menses. I try to be very diligent about counseling about possible side effects such as headaches and nausea, or breakthrough bleeding, especially if they are not taken correctly. Also, some patients have real medical reasons why they should not take BCPs, usually because they have a reason why they cannot take estrogen. I routinely discuss the risks and benefits of taking any medication with my patients, but there is probably no medication that is surrounded by as many pre-conceived ideas as the birth control pill. In this blog, I’m going to address two of the most common fears of taking BCPs, and the good evidence that we have after 50 years of their use. Right up front, you should know that I receive no money, lunches, pens or any other form of incentive from any pharmaceutical company, and I am not invested in any pharmaceutical company, so there is no conflict of interest here.

    Myth 1: I have a high risk of a blood clot if I take birth control pills.

    For years we have known that taking BCPs increases the risk of blood clots, but that increase is relatively very small. To have a better understanding, it is important to understand our risks from other activities; for example 1 in 5,000 of us will die from a car accident each year. In the United States the risk of dying in pregnancy is 1 in 8,700 pregnant women each year. Meanwhile the risk of death from BCPs in a non-smoker under the age of 35 is 1 in 1,667,000 (ibuprofen, acetaminophen are much riskier).

  • Do you think your child may have ADHD? Here are the next steps to take.

    Attention Deficit Hyperactivity Disorder (ADHD) is one of the most common medical issues affecting children, with an estimated 5 to 11% of children in the U.S. diagnosed with the disorder. Despite its prevalence (or perhaps because of it), an ADHD diagnosis for a child often brings with it feelings of stress, frustration, confusion and fear for parents. There are multitudes of conflicting opinions floating around about ADHD, and many parents find it difficult to decide which voices to listen to and how to make the right decision for their child.

  • Get to know Dr. Mark Weatherly, pediatric pulmonologist at Arnold Palmer Hospital

    The Pulmonary and Sleep Medicine Center at Arnold Palmer Hospital cares for infants, children and young adults with chronic and acute respiratory disorders. Our practice provides comprehensive care for a wide variety of disorders associated with the lungs including, but not limited to, everything from asthma and chronic cough to restrictive, interstitial lung diseases and sleep disorders. Our interdisciplinary team consists of physicians, nurse practitioners, nurses, respiratory care practitioners, social workers, dietitians, pharmacists, medical assistants, front office staff and medical residents. We recently interviewed Dr. Weatherly, pediatric pulmonologist, to get to know him outside of the exam room and to learn more about the Pulmonary and Sleep Medicine Center.

    Where did you grow up?

    In Michigan.

    Where did you go to medical school?

    Michigan State University

    What was your first job?

    I was a camp counselor in high school.

    What are your hobbies?

    Reading, travel, medical missions volunteer

    If you could meet anyone, who could it be?

    The Pope because I think he would have a great perspective on suffering and the love of God in our lives.

    Did you always know you wanted to go into the field of medicine?

    No. I wanted to be a veterinarian but discovered an allergy to cats, so that was not a viable career!

    Why did you choose to go into pediatric pulmonology?

    I had a mentor and role model who was a pediatric pulmonologist. I loved the way he helped families of children with Cystic Fibrosis, as well as how he balanced his career and family time.

    How long have you worked at Arnold Palmer Hospital?

    I have admitted patients here for 17 years and have actually worked for the hospital for 6 years.

    What do you love most about working at the Pulmonary and Sleep Medicine Center at Arnold Palmer Hospital?

    We have an awesome multidisciplinary team that works well together and provides excellent comprehensive care to patients.

    Has there been a specific patient or family that has impacted you as a physician?

    There have been many. Each family brings their own perspective to a chronic illness, and it is an honor (though sometimes a challenge) to work with them through the process of medical therapy for their child.

    What is one thing that most of your patients don’t know about you?

    I am crazy about dogs, and I feel a little guilty telling some patients who have pet allergies they cannot have a pet when I have one myself!

    In honor of Asthma and Allergy Awareness Month, what key pieces of advice do you give to families whose child has been diagnosed with asthma?

    Take your preventive medication as prescribed, and do not let anyone tell you not to be physically active because of your asthma. Go for it!

    Click here to learn more about the Pulmonary and Sleep Medicine Center at Arnold Palmer Hospital