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  • Concussions and sports: It's a girl thing, too

    As summer winds down and a new school year gets underway, this also signals the start of the fall high school sports season in Central Florida.

  • Giving back to the twins' first home

    When Ritu and Raja Sandhu found out they were pregnant with twins in 2007, they were over-the-moon excited and looking forward to starting a family together. Following this exciting news, everything seemed to just fall into place. They were talking about baby names and dreaming about their twin’s future nursery, and they couldn’t have asked for an easier pregnancy. It was all happening so fast, yet they were about to be hit with reality a lot sooner than they expected when Ritu went into labor at 27 weeks.

  • Living through the uncertainties of Spina Bifida

    Written by Amanda Kern.

  • A letter to other families battling childhood cancer

    Written by Colleen and JP Wright, parents of Ethan Wright, Ewing's Sarcoma Fighter and to date, SURVIVOR

  • Giving Back to the Place that Gave Them Hope: The NICU at Winnie Palmer Hospital

    It wasn’t the birth she had envisioned. Her husband wasn’t even in the room when she delivered her daughter. At 26 weeks of pregnancy, Melissa Harper gave birth to her “miracle,” Hattie, who weighed just one pound 13 ounces and measured only 14 inches long.

  • The vaccine schedule is safe and effective

    Pediatricians often hear from parents that they are worried about giving too many vaccines at one time and “overloading the immune system” of their infant. As a result, parents ask to “spread the vaccines out more.” As pediatricians, we know that the vaccine schedule outlined by the Centers for Disease Control and Prevention (CDC) and recommended by nearly all pediatricians is safe and effective. We don’t understand how some rogue physicians and some well-meaning, but ignorant public figures can contradict good science and suggest that the vaccine schedule that we use is unsafe.

    All scientific evidence says that the vaccine schedule

    is indeed safe and very effective.

    Many people draw the conclusion that it must be dangerous to give vaccines all at once. But in fact, that could not be further from the truth. There are very specific reasons that we use each vaccine the way that we do, both when they are started, and how and when they are repeated. What I will give you in this post and in subsequent posts is hopefully a clear, understandable explanation of the design of the CDC’s recommended immunization schedule.

    The Hepatitis B Vaccine

    The hepatitis B vaccine is the one immunization that we routinely give as soon as a baby is born. This is for two reasons. First, it works that early. Newborns’ immune systems are already up and running and are able to respond to the hepatitis B vaccine and make antibodies right away. This is a very fortunate thing, as many of our vaccines don’t work in a newborn body. What we know about hepatitis B is that almost all cases in children are caused by spread from an infected mom during birth. Many moms who are carriers of hepatitis B are missed during pregnancy or in the hospital, either due to lack of prenatal care, lab error, or lack of communication. The amazing thing is that the one dose of hepatitis B vaccine, if given right after birth, is essentially perfect in preventing infection of the newborn. The birth dose of hepatitis B vaccine saves lives every day. The other nice thing about that vaccine is that there are essentially no relevant side effects, not even fever or discomfort.

    The Two-Month Wellness Visit

    We start our next routine vaccines at the two-month wellness visit. When we immunize we want to be sure that enough of mom’s antibodies are out of the newborn’s system and that the newborn’s immune system has matured enough to respond to our vaccines. We know that in the first month or more, some of the vaccines don’t work well yet. However, by six to eight weeks they work very well; this is why the DTaP, Polio, HIB, rotavirus, and pneumococcal vaccine series start when they do.

    This is NOT because the immunizations would

    “overwhelm” the immune system if given earlier.

    They just would not be effective.

    Of note, the most common and relevant side effects of the vaccines given to infants are a little bit of diarrhea or throw-up from the rotavirus vaccine, and maybe a little fever, fussiness, or local reaction in the thigh muscle for the others.

    The MMR Vaccine Controversy

    The MMR (measles, mumps and rubella) vaccine is one that has received a lot of attention since it was wrongly accused of causing autism.

    In fact, vaccines have clearly and repeatedly been shown

    not to cause autism or other developmental disabilities.

    And yet, many parents still believe that we wait to give the MMR until a year of age because it might be harmful if given earlier. They then wonder if waiting even longer might be even better. The problem is that the younger you are when you get the measles, the sicker you get and the more likely you are to die. Our goal with the MMR is to protect small children as young as we possibly can, and to reduce the spread of disease in our communities.

  • Are juice cleanses harmful to kids?

    Juice cleanses are widely popular among adults, especially women, as they are strategically marketed as a powerful way to detoxify the body and “reboot” metabolism, as well as provide a “jump start” in weight loss. As these juice products are showing up in more and more family-shared refrigerators, kids are starting to take notice and want to join in on the juice craze, too. Several recent news articles even highlight stories of young juice devotees, ranging in ages from 6 years old to 18 years old. One story even includes a mother-daughter duo that share a love for organic cleanses, who recently when on a five-day cleansing program because dad was out of town (because of course, I don’t think dad would approve!).

  • How to have a safe and spooktastic Halloween

    Halloween may not be the most anticipated time of year among adults, but for kids, it’s a different story. The anticipation of dressing up in their favorite costume and collecting candy until their trick-or-treat bucket is too heavy to carry can be overwhelming. For some kids, it seems almost torturous to make them wait until it’s time to go trick-or-treating to show off their costumes to their friends and family. Dressing up in a favorite costume, going door-to-door screaming “trick-or-treat!”, and coming home to a pile of candy is the highlight of the fall season for many kids.

  • Giving back to the hospital that changed our lives

    Written by Heather Shields

  • The HPV Vaccine: Questions, Facts, and Misconceptions

    What is HPV?

    HPV stands for human papillomavirus, and these viruses are the most common sexually transmitted viruses in the United States. Most of the people who are diagnosed with HPV are young and sexually active. The rates of HPV infection are high because most people who have HPV do not know they are infected because sometimes the virus shows no symptoms. Most HPV infections show no symptoms, and resolve within two years. However, there are many different strains of the HPV virus, and there are high-risk strains (HPV types 16 and 18) that are associated with cervical, anal, mouth, and throat cancers.

    What is the HPV vaccine?

    The HPV vaccine is a vaccine that can help protect your child against the high-risk forms of HPV that can cause cancer. It does not protect against every HPV strain (since there are more than 100), only 4 high-risk strains of HPV. The American Academy of Pediatrics recommends that girls AND boys receive the vaccine starting at ages 11-12. The vaccine is given three times over a period of six months. To receive the maximum amount of protection, your preteen should receive all three doses. The HPV vaccine can be given at the same time as other vaccines.

    Why should my child start receiving the HPV vaccine now? She’s so young!

    Many parents ask this question, because they are unsure about giving their preteen a vaccine that protects them against a sexually transmitted infection when he or she is not engaging in sexual activity. Parents will ask if the vaccine can be delayed until their child decides to start having sex. HPV vaccines offer the maximum amount of protection for your child when they are given in all three doses BEFORE your child begins to have any sexual activity with somebody else. One study has shown that almost 80% of infected teenagers have contracted HPV within 2 to 3 years of the first time they engaged in sexual activity.