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  • Easing your child’s anxiety about the new school year

    “Are you excited about going back to school?”

  • Preparing your child for surgery

    Hearing that your child needs surgery is difficult for many families to digest, and can often result in increased stress and anxiety leading up to surgery day. For many parents and children, the fear of the unknown leaves them with many questions relating to the preparation for surgery, the surgery procedure, and recovery after surgery. Sometimes for children, the unknown is their best coping tool in preparation for surgery as they think, “If I don’t know the details of the surgery, then I don’t have to think about it and therefore it won’t happen.” For many children and parents alike, denial and avoidance is a common stress relief tactic. However, the child is probably thinking about surgery day as he/she overhears conversations between adults about the surgery, and is likely picking up on their parent’s stress. The child has also been going to doctors’ appointments that are necessary before surgery, making it that much more real to the child. Knowing what to expect on surgery day can actually help ease those feelings of stress and anxiety, and help to eliminate misconceptions that the child may be envisioning.

    How do we help ease a child’s fears of surgery at Arnold Palmer Hospital?

    At Arnold Palmer Hospital, we offer a free, educational program called Project P.L.A.Y., which is designed to help your child understand what to expect before surgery and during their hospital stay. The program is led by a child life specialist who will walk your child, siblings, and you through what to expect leading up to surgery, as well as what to expect after surgery.

    What does the program entail?

    For younger children, our child life specialists use a teaching doll to explain what’s going to happen before and after surgery – all on an age-appropriate level. This can include things such as: IVs, catheter, and any other tubes or medical items they may see on their bodies before or after the procedure. They also show the child what an anesthesia mask looks like and explains that “sleepy medicine” helps them so they won’t feel anything during surgery.

  • Living to the beat of a normal heart: Cameron's story

    Four years ago when Heather was 36 weeks pregnant, she went in to her doctor’s office for what she thought would be a routine check-up. However, her OB/GYN, Dr. Emma Fritz, told her she needed to go immediately to Winnie Palmer Hospital for Women & Babies, as her unborn son’s heart needed emergency treatment. As a flurry of emotions rushed over her and her husband, Ryan, they put complete faith in the hands of the specialists at Winnie Palmer Hospital and Arnold Palmer Hospital who would soon care for their baby boy.

    Expecting the unexpected leading up to Cameron’s birth

    Heather was used to going in for testing at her OB/GYN’s office several times a week throughout her pregnancy. Her unborn son, Cameron, had been diagnosed with an irregular heartbeat in the early stages of Heather’s pregnancy, requiring frequent check-ups to monitor his condition. Going in for her 36-week appointment, Heather wasn’t expecting anything out of the ordinary. But one look at her doctor and she knew this time, things were different.

  • 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.

  • 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.

  • 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.

  • Giving back to the hospital that changed our lives

    Written by Heather Shields

  • How I’m teaching my child to treat others with special needs

    I was with my two kids recently at an indoor play place when a teaching moment happened upon us. We saw a little boy there with his mom, and he was sitting in a wheelchair. My 4-year-old looked at him curiously and then asked (in a rather loud voice), “Mom, why is he sitting in that chair instead of walking?”

  • Prescription: bed rest.

    Courtney Kowalchuk is the mother of twin girls after battling endometriosis most of her life. After several surgeries to correct the damage done by this disorder, and a challenging pregnancy and delivery, she hopes that by sharing her experiences, she can help inspire strength and encouragement for others. Courtney is the President/CEO of BrightLight Branding, a full service branding and marketing company located in Orlando, FL.