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Children and CT Scans
In June 2013, an article was published in JAMA Pediatrics that discussed the use of CT scans in children, and the risk of developing cancer in the future. A CT scan can be a very useful tool for a physician to use to either make, or confirm, a diagnosis if your child is having a medical problem. It is important for families to understand that a CT scan uses radiation, and we know that exposure to radiation is linked to cancer.
The Study: The link between CT scans and cancer
The information from the JAMA Pediatrics study describes the overall increase of use in CT scans in children over the past 20 years. The number of pediatric CT scans increased until about 2006, and then began to decline. The amount of radiation in a CT scan can be 100 to 500 times greater than a plain x-ray. Children are very sensitive to exposure to radiation that can cause future cancer because of their young age, and because they have many more years of growth and development ahead of them. -
Got Breast Milk? Wanna share?
We’ve heard doctors say it over and over again: “Breast is Best!” for babies. A mother’s breast milk provides the most complete nutritional support for growing infants. And yet, as many new mothers are painfully aware, that’s a lot of pressure. Sometimes we make a choice whether we prefer to breastfeed or not, and sometimes that decision is made for us.
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Young children are at a greater risk for dog bites
Dog bites hurt. Want to know how I know? Because I got snapped at when I was a little girl, and I haven’t forgotten about it since then. I remember the incident like it was yesterday. My family was taking care of my grandparents’ dog while they were away – a springer spaniel named “Jenna.” Jenna had quickly become my friend, as we were lying on the floor watching movies one afternoon. I wanted to get as close to Jenna as I could, and found myself all up in her face. We had no boundaries, or so I thought. The next thing I know, Jenna, having none of it, snapped at my face, snagging the tip of my nose. I was traumatized, and wanted nothing to do with Jenna after that.
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Braving breastfeeding
After my son was born at Winnie Palmer Hospital in 2008, my sister-in-law visited and congratulated me. She said to me, "Welcome to the best job in the world!" I remember feeling happy, excited, scared and exhausted all at the same time. As I was recovering from the physical events of labor and delivery, I was ready to tackle one of the first of many challenges of becoming a new mom: breastfeeding my baby.
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My child has a heart murmur; what does that mean?
As I finished taking care of my patients last week, I smiled at the relief that overcomes a parent when they learn that there is indeed nothing wrong with their child’s heart.
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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.
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Giving thanks and giving back
Haley Kestory understands what it means to be truly thankful.
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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.
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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.”
