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  • Mom, what's for dinner?

    How often have you heard this phrase?

  • New Recommendations for Treatment of Ear Infections

    One of the most common illnesses in U.S. children is acute otitis media (AOM), which is a type of ear infection when the middle ear becomes infected. This type of ear infection is the most common condition for which antibiotics are prescribed for U.S. children. The American Academy of Pediatrics (AAP) has recently updated its recommendations to physicians taking care of uncomplicated ear infections in children ages 6 months to 12 years. This new clinical practice guideline will be published in the March 2013 Pediatrics journal. These new guidelines help provide a more specific and stringent definition of a middle ear infection, pain management guidelines, recommendations for initial observation versus immediate antibiotic therapy, and preventive measures.

    What is an ear infection?

    Usually, a child will get an upper respiratory infection or a cold, and the middle ear can become inflamed. Fluid may build up and become trapped in the middle part of the ear during an acute illness. The tube that helps drain fluid from the middle ear to the back of the nose is called the Eustachian tube, and this tube is smaller and more horizontal in children as compared to an adult’s. So when a child becomes ill with a cold, it is more difficult for this fluid to drain out and bacteria can possibly grow in this fluid that is trapped behind your child’s eardrum.

    How do I know if my child has an ear infection?

    Symptoms of an ear infection may include: Fever Headache Difficulty sleeping Difficulty hearing Crying more than usual Fluid draining from the earThese symptoms may be difficult to detect. If your child has a cold and any of the above symptoms, your doctor will be able to use an instrument called an otoscope to look at your child’s ear drums to diagnose an ear infection.

    If my child has an ear infection, do I need a prescription for antibiotics from my doctor?

    The surprising answer is that your child may not always need antibiotics for an ear infection. In treating non-severe ear infections, less may actually be more because our body’s immune systems can usually handle and take care of ear infections on its own. Studies have shown that children with ear infections usually report similar symptoms after about ten days, whether or not they received or did not receive antibiotics.

  • Hearing the “A” word: autism

  • The benefits of finding a good support group

    As a Licensed Clinical Social Worker at The Hewell Kids’ Kidney Center at Arnold Palmer Hospital, I have many teenage patients express to me that they feel lonely, isolated, and different. They feel that that no one understands what they are going through, and sometimes, they don’t even know what they are going through, or what to expect in the future. They express feelings of grief from losing some of the freedom they once enjoyed and the carefree attitude they once had. Many of these young patients show symptoms of depression and anxiety, too.

  • Taking a closer look at eating disorders and disordered eating.

    This blog post was co-written by Corissa Schroeder, Registered Dietitian at Teen Xpress. 

  • 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.

  • Living through the uncertainties of Spina Bifida

    Written by Amanda Kern.

  • 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.

  • 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