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  • Holiday Cheer to Children in the Hospital

    The holidays are a difficult time to be in the hospital—especially for children. But being a pediatric patient doesn’t mean missing out on the warmth of the season or on holiday cheer. At Orlando Health Arnold Palmer Hospital for Children, we know that every child should experience the joy of the holiday season regardless of their current situation. So, since our patients cannot go home to celebrate the season, we bring the holiday celebrations to them. 

  • Your Child’s Migraines: Navigating the ER

    Migraines are among the most common reasons for children to visit an emergency room for medical care. After all, there are about 7 million children in the United States who live with migraines. Knowing when to take your child to the ER and how to manage the wait there is important for a speedy recovery and in preventing future migraines.

  • Rethink the drink! Sports drinks aren't as healthy as parents think they are.

    If you’re still not convinced that sports drinks should be consumed with caution, let me leave you with this fun fact:  One 20 oz. sports drink has 34 grams of sugar, which is 8.5 teaspoons of sugar. This is more than a full sized candy bar, which has 7.5 teaspoons of sugar!!!

  • In Parenting a Preteen, Maybe Laughter and Friendship Aren’t out of the Question

    My almost 13-year-old son and I laughed so hard at a commercial on TV last night that we both cried. I cried big, crazy tears that exploded out of my eyes and laughed so hard I could not catch my breath. In his nearly 13 years on this earth, we have laughed together a million times, but I don’t think we’ve ever laughed together that hard, or in that way. For a moment, we were both hysterical over the same silly joke, not as mother and son but just two people hanging out and having a good time.

  • Tips from a pediatrician on how to have a successful school year

    Another school year has already started. Does your child gladly go to bed on time and jump up refreshed at 0-dark-thirty to pop into school clothes and get to school energized? Or are you fighting to get him to bed, dragging him out in the morning, getting him to the bus with no food in his tummy? If the second scenario is yours, I think I can help you. Even if you relate best to the first scenario, maybe there is something here for you, too!

    Sleep is more important than food!

    I tell my patients, and this is true, that you can go without food longer than you can go without sleep. Sleep supports so many body functions that without enough sleep, your child will not learn, play, or grow well. For starters, get the electronics (TV, phones, games) out of children’s bedrooms. Those should be used socially anyway, and they interfere with both falling asleep and staying asleep. Bedtime should be about the same time every night, even on weekends, and should be early enough to guarantee at least eight hours or so of uninterrupted sleep (up to ten hours for younger children). If your child’s summer bedtime has been ridiculously late, try moving bedtime up by 15 minutes or so every few nights, not allowing for naps or “sleeping in,” so that her clock will gradually reset to a healthy schedule.

    But food is important, too!

    Breakfast is, indeed, the most important meal of the day. Without breakfast, your child’s body will produce calories for the morning by breaking down muscle to release stored energy. This process also produces some chemicals that make your child crabby and groggy. Children who don’t eat breakfast don’t feel or think as well as those who do. That does not mean that your child needs to eat two eggs, bacon, toast, and juice at 6 AM. But it also does not mean that they should have a pop tart and call that breakfast. Even the grumpiest teenager can gag down an instant breakfast drink and a half a banana, or a smoothie made with fruit and yogurt, or a piece of toast with peanut butter and half an apple. A perfect breakfast should include a complex carbohydrate (like whole grain bread or cereal for example), some dairy source for calcium (milk, yogurt), some protein (meat, milk, legume like peanut butter), and a fruit and/or vegetable. A small glass of milk with half a turkey sandwich with lettuce and tomato is a great breakfast, and you could send the other half sandwich for lunch! If your child “is not hungry,” that makes sense, but it does not mean he does not need the fuel. He can eat on the bus or in the car.

    Refill the tank mid-day

    A slice of pizza, juice, and a bag of chips is not a good lunch. If your child buys lunch at school, he can be taught to eat smart; school lunches do provide fruit and vegetable choices. Drinks are healthier now, too; most children (including teens) should only drink milk and water. Everything else (juice, soda, sports drinks) is just sugar-water. Energy drinks are not only empty calories, but also potentially toxic chemicals that interfere with sleep, affect heart rate and blood pressure, and who knows what long term effects that we don’t know yet. Packing a lunch for your child is a great option. I have done it now essentially every day for 17 years. It takes me 15 minutes each morning and my kids leave with a healthy sandwich or hummus and pita, a whole fruit, a bag of berries or grapes, another bag of veggies (carrots, peppers, sliced cucumber, grape tomatoes), one treat (like a 100 calorie bag of cookies or crackers) and a flavored water beverage. When my older children were in high school they actually had friends ask if they could send me money each week so I could make them lunches, too! Children are smart people. If you teach them well, they will get it!

    Spend quality time, but don’t hover

    Your child needs you, but, honestly, not as much as you need her. Asking about school, offering to help with homework or personal issues, helping to set goals to do her best: that is your job. Living her life is not. Helicopter parents are harmful, not helpful. That said, help your child to set up a routine after school so that there is a quiet place to focus on homework, time for physical activity (at least an hour each day), very limited passive “screen time” (less than two hours a day). Be available if she needs help. A family dinnertime, even if it is late, is a great time to talk about the day, to listen and to plan. Organizing in the morning should be your child’s job. You can double check for a while that things are all being completed, packed and turned it, but let it be her job.

    Expect issues

    Listen to your child so that you can help him with what he really needs help with and not with what you want to help with. Don’t be afraid to be MOM (Mean Old Mom), setting limits or making rules that “other kids parents don’t…” Seek help, either from your pediatrician or from a counselor, if you don’t know what to do or say. They don’t come with instructions! Most important, be open and honest with your children. Ask them how they feel and tell them how you feel. You are not your child’s best friend, but you are her best ally. Have a happy and successful year!

  • Kids with Autism are at Higher Risk to Go Missing from Safe Places

    Panic strikes in that moment when you look down to notice your child has vanished. How could it happen so fast? For most, it’s the mischievous toddler who plays a spontaneous game of hide-and-seek in the middle of the busy superstore or decides to run the opposite way when Dad announces it’s time to go home from the park. But if your child is affected by an Autism Spectrum Disorder (ASD), the situation can be even more unexpected and more dangerous. Keeping your child safe can be quite a daunting challenge for every parent, but recent research sheds light on how difficult this can be for parents of kiddos with ASD. According to research out of the Kennedy Krieger Institute, children with ASD are at a much higher risk of bolting than their typical siblings, are likely to disappear for longer periods of time, and the risk of this happening continues long past the age that parents would expect.

  • Changing the way we feed our families

    I don’t know about you, but mealtimes have become almost nightmarish around our house lately.

  • Why Teens Need the HPV Vaccine—Now

    Human papillomavirus (HPV) causes at least 26,000 cases of cancer every year in the United States: about 18,000 in women and 8,000 in men. In 2006 a vaccine was licensed to prevent most of these cancers as well as venereal warts. First recommended for girls, the victims of more HPV-related cancers, the HPV vaccine was soon recommended for boys as well. The Center for Disease Control and Prevention (CDC) recommends HPV immunization for all preteens between the ages of 11 and 12 years, prior to any risk of exposure.

    The reality of HPV immunization in the U.S.

    About 80% of us will contract HPV in our lives. Fortunately, most HPV infection is cleared by the immune system without long-term consequences. The unfortunate few go on to develop devastating disease. Sadly, the immunization rate of U.S. teens against HPV is very low. By 2013 less than half of all teens had received even one dose of an HPV vaccine. Currently, only 24% of preteens aged 11 to 12 years of age have begun the series.

    Why are vaccination rates so low?

    HPV is difficult for parents to think about because it is mostly transmitted by some form of sexual contact. However, as much as we don’t want to think about our youngsters becoming sexual beings, they will. It is actually our goal as parents to have our children grow up and have families. Thus, acknowledging that our children may at some time in their lives contract HPV is our responsibility.

  • Recognizing the Signs of Drowning

    Drowning is the second-leading cause of injury-related deaths in children between 1 and 14 years old in the United States, and it is the third-leading cause of unintentional death worldwide.

  • On Mother's Day, what to say to parents who've lost a child

    There are certain holidays that can feel like tiptoeing over landmines, and Mother’s and Father’s Day can be that way for some of us. For a perfectly intact family it may be nothing but joyful, but for those of us who have endured loss and heartache, that happiness is often tempered by a sense of sadness and grief. I lost my father as a teenager, and even now nearly twenty years later the day set aside to celebrate fathers is always bittersweet for me. I rejoice in the celebration of my husband with my children, but underneath I always feel the loss of my own father. My loss feels even heavier as I scroll through Facebook and see smiling photo after smiling photo posted of other people with their fathers. I’ll never have a picture of my Dad walking me down the aisle to get married; he wasn’t there. I’ll never have a photo of him with his grandchildren; he didn’t live to meet them. The knowledge of these things is a dull ache that has gotten better with time, but never really goes away.