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  • ADHD medications: Things you should know as a parent

    Attention deficit/hyperactivity disorder (ADHD) is one of the most common conditions among school-aged children, affecting roughly one in 25 kids. Children with this disorder often have trouble controlling their behavior, which can have wide-ranging effects on their home and academic lives.

  • Tips for buying safe toys for your kids this holiday season

    This post was originally published in December 2013.

  • Can infant sound machines harm your baby’s hearing?

    You may have heard some talk lately about sound machines used for white noise and the possibility that it could damage a baby’s hearing. If your house is like mine, white noise is an absolute must- a small house with multiple children and bedrooms close together means that white noise helps everyone sleep better. But, is that okay?

  • If news headlines have made you feel like a bad parent, you aren’t alone

    You are a bad parent.

  • Inspired to give back after becoming a childhood cancer survivor: Whitney’s story

    After meeting Whitney, you would never realize the hardships she endured by spending most of her childhood in the hospital, battling several childhood illnesses. Instead, you would see a sweet, quietly confident 16-year-old girl who is passionate about art and medicine, as well as fundraising, pursuing excellence in everything that she does. While most girls her age are interested in the latest fashion trends, boys, and the usual high school drama, Whitney is different. Although she thinks about these things, she is on a greater mission. A mission to educate people on childhood cancer and to one day, find a cure for this ugly disease.

    The diagnosis that changed everything

    At eight years old, Whitney was diagnosed with a T-cell post-transplant lymphoproliferative disorder (PTLD), or a T-cell Lymphoma, a rare and aggressive form of blood cancer. In fact, it is so rare, that only one to two percent of the population in the United States is affected by this type of cancer today. Having been previously treated at a local hospital in Gainesville for a liver transplant that she underwent at the age of three, she began treatment for cancer there, so that her previous team of physicians could care her for. However, after three months of treatment, Whitney was not responding well, and her parents asked if she could be transferred to Arnold Palmer Hospital for treatment so that she could be closer to home. Once Whitney transferred, they started to see significant signs of improvement and she was finally responding to treatment. Over the course of her treatment, Whitney was a trooper and did extremely well. However, with the intensity of treatment that childhood cancer requires, there are good days and bad days. And some days, they feel so dark you wonder if there is a light at the end of the tunnel, according to her mom. Despite all of the trials and hardships that came her way, Whitney persevered through it all, and in April 2006 she was told she was “cancer-free!”

  • 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.

  • Shopping cart injuries are on the rise

    How often do you go to the grocery store anticipating leaving in an ambulance with your child, due to a shopping cart-related injury? My guess is, never. Most parents want to get in and get out when doing the grocery shopping, especially with kids in tow. The problem is, many parents sacrifice safety while trying to hurriedly check things off their list. And despite a voluntary shopping cart safety standard implemented in 2004, the overall rate of shopping cart-related injuries among kids have not declined.

    The Study

    A recent study published in Clinical Pediatrics brought to light the prevalence of injuries among children related to shopping carts that were treated in US Emergency Departments, and the numbers were unexpected. Rather than seeing a decline in the number of injuries following the 2004 shopping cart safety standard, researchers actually found an increase in the number of concussions and closed head injuries treated. This can only mean one thing – the current safety standard is not adequate, and further action must be taken to help keep kids safe while cruising around the grocery store.

  • Q & A on Scoliosis with Dr. Herrera and Dr. Knapp, Pediatric Orthopedic Physicians at Arnold Palmer Hospital

    Scoliosis is a relatively common condition among children and adolescents. It’s important to know that no spine is perfectly flat, but those who are unaffected by scoliosis have a spine that is straight when looking up and down the middle of the back. Likewise, those who are affected by scoliosis have a curve that runs side-to-side, sometimes resembling the letters “S” or “C,” instead of the letter “I.”

    What exactly is scoliosis and how common is it?

    Scoliosis is a condition of the spine where your back may become curved with time. Not only is the spine curved, but it also rotates on its axis, which leads to the famous “rib hump,” noticed on the spine screenings done at school, or during yearly physicals administered by primary care physicians.

  • Car Seat Safety Guidelines: what you need to know.

    There are few things in parenting as complicated as the rules and regulations of car seats. And yet, there are few things as important for the safety and well being of our kids.

  • Helping Families Thrive Through Challenges: The Healthy Families Orange Program

    “I probably wouldn’t have my kids with me,” Diane Johnson says with tears welling up in her eyes.