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  • Are highchairs really safe?

    A highchair is one of the most common (and practical) items on any new parent’s baby registry, and is known for making feeding time a whole lot easier. Many parents naturally assume the highchair is safe for their child, but did you know there has been an increase of highchair-related injuries among infants over the past ten years? A recent study took a closer look at the reasons behind the rise of bumps, bruises and head injuries caused by highchairs. Here’s what they found.

    The Study

    Researchers at Nationwide Children’s Hospital examined data of children, ages 3 years and younger, who were treated in U.S. emergency departments from 2003 through 2010 for highchair-related injuries. The findings were staggering. On average, more than 9,400 children were treated for an injury relating to a highchair or booster seat each year. To put this in perspective, that’s one child every hour!

  • Get to know Dr. Pinnelas, a pediatric hospitalist

    Over 20 years ago, I began my career in Orlando as a private pediatrician. I was very happy as an office-based pediatrician, and I never dreamed I would have changed my career path. I always enjoyed making hospital rounds before going back to the office for the rest of the day. I also had an opportunity to teach students and residents at the hospital which was intensely rewarding. The hospital approached me over 14 years ago and asked if I would be willing to start something “new” which was to create the Pediatric Hospitalist Service at Arnold Palmer Hospital. Becoming a pediatric hospitalist was a very new specialty in the United States. It had just started to gain some traction in the adult patient population but was rare in pediatrics. I was game, so with my best friend and mentor, Matthew Seibel and two of the best nurses on planet earth, we founded this new venture.

    So what is a pediatric hospitalist?

    A pediatric hospitalist is a physician who only cares for patients in the hospital; most don’t have an outpatient practice. The concept of a pediatric hospitalist makes so much sense for so many reasons and here are just a few.

  • Meet Dr. DeCampli and Dr. Nykanen, Co-Directors of The Heart Center at Arnold Palmer Hospital

    Dr. DeCampli, pediatric cardiac surgeon, and Dr. Nykanen, pediatric cardiologist at The Heart Center at Arnold Palmer Hospital, are best known for their skill and precision in the operating room, as well as their dedication to the care of kids battling congenital heart disease during outpatient visits and procedures.

  • 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!

  • Pediatricians can’t ask you about guns

    There’s been an ongoing court battle here in the state of Florida over whether physicians have the right to ask families about gun ownership in their home.

  • Six tips to encourage our teens to get involved in healthy, versus unhealthy, relationships

    On the wall above my desk is a bulletin board. There’s a letter pinned to it, written in curvy, girlish handwriting. The letter is one of the thank-you notes I have received over the years I’ve worked at Teen Xpress. It was written years ago by Jen,* a beautiful, sweet 16-year-old girl in an abusive relationship.

  • The “thigh gap:” A skinny rule reigning social media sites frequented by teenage girls

    The thigh gap. Have you heard of it? No? Perhaps your teenage daughter has. This “rule” for skinny is permeating social media sites: tumblr, facebook, instagram, to name a few. Even though this seems like a relatively new trend, women have been using their thighs as a way to measure their body image for years. I know, because a particular Oprah show is forever engrained into my mind. A few years back, as I was watching this show, I recall a vivid image of Oprah, standing with her feet touching, looking at the space between her legs and proclaiming that “skinny” women strive to have at least two gaps showing (a gap between the ankles and a gap just below the knees), and if they are lucky, three – the gap between the thighs. I’m even embarrassed to say that I catch myself every now and then looking at my thighs to see if I have “the gap.”

    What exactly is the thigh gap?

    The thigh gap is a one to two inch gap between the thighs when the feet are touching together. However, this “gap” is almost impossible to attain, and the process of obtaining a thigh gap is risky, oftentimes sparking unhealthy fitness and eating behaviors. This trend has also raised concerns among eating disorder experts, as they recognize that in order to obtain a thigh gap, one would most likely take on some form of disordered eating.

  • What's your food allergy IQ?

    When my daughter was younger, she started attending a Mom’s day out program. When we attended orientation, the school informed us that they are a “peanut-free” school. That means, when packing lunches, we are to avoid all peanut products for all of the children. This is my first foray into the world of school lunches, and I have to admit, I was a bit annoyed. Peanut butter and jelly sandwiches are a staple food in our house. It is my go-to, in-a-hurry food choice. If my child isn’t allergic, shouldn’t I be able to give it to her?

  • Tips to help your child maintain a healthy diet throughout the school year

    With so many things to do when getting ready for school, it’s important to remember to place good nutrition at the top of the “to do” list. Planning out your child’s menus will help ensure that they will have nutritious meals and snacks available throughout the day, and will help them to have more energy and mental power to be successful at school.

  • Breastfeeding? Be sure you know how to handle and store your milk safely

    If you’re breastfeeding your baby, you may decide to express some milk to be used at a later time. Using a breast pump allows you to collect milk to be used when you’re not with your baby and also gives your partner or another caregiver the opportunity to help you with baby’s often demanding feeding schedule. Many nursing mothers enjoy the flexibility of pumping and storing breast milk, and it becomes a necessity for those who desire to continue breastfeeding as they head back into the workplace.