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  • Having “the talk” with our son.

    The other day, my 7-year-old informed my husband and I that he knew what sex meant. As a mental health counselor at Teen Xpress, I talk to young people every day about sex. However, when my own son told me that he knew what “IT” was, I just about fell to the floor! We stayed calm and tried not to look worked up. My husband casually asked, “So, what is it?” My son got a little shy and said, “I can’t really remember, but it’s something a man and woman do.”

  • 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.

  • Healthy breakfast cereals for the whole family

    How would you feel if your child ate cookies for breakfast? I am sure most parents would not approve. Surprisingly, many breakfast cereals have just as much sugar as a cookie, brownie or other desserts. Breakfast cereals are a great choice to provide our body with energy for the upcoming day, but it is important to make wise choices in the cereal aisle. A healthy cereal should be able to fuel your body with necessary nutrients that will help it grow and stay strong. Our body, just like a car, needs good quality fuel to keep it going throughout the day. When we put not-so-healthy food in us, we often feel run down, tired, cranky, and very hungry. In order to make wise choices, there are three key nutrition criteria that we should look for when purchasing cereal.

  • Why Teens Need the HPV Vaccine Now

    Human papillomavirus causes at least 26,000 cases of cancer every year in the United States: about 18,000 in women and 8,000 in men. In 2006 a vaccine was licensed to prevent most of these cancers as well as venereal warts. First recommended for girls, the victims of more HPV-related cancers, the HPV vaccine was soon recommended for boys as well. The Center for Disease Control and Prevention (CDC) recommends HPV immunization for all preteens between the ages of 11 and 12 years, prior to any risk of exposure.

  • More Than Her Illness: Faith Finds Hope in the Teen Leadership Council

    Faith was in dire need of help when she arrived at Orlando Health Arnold Palmer Hospital for Children at the age of 14. She had been to other hospitals and seen other specialists, but none were equipped to deal with her severe gastrointestinal conditions. That changed once she got to Orlando Health Arnold Palmer and its expert team of pediatric gastroenterologists and GI surgeons.

  • A little bit of fabric equals a lot of love: a pillowcase makes the hospital feel like home

    Written by Nora Elkins, customer service specialist.

  • Why I am inspired to be a part of the Orlando Health family: Lindsay's story

    This story is written by Lindsay Wiseman, Digital Communications Intern at Arnold Palmer Hospital. 

  • Redefining "spina bifida" through the lens of a camera, one photo at a time

    Written by Amanda Kern

  • Hurricane Kyle: a mother's journey through the storm of childhood cancer

    Friday,  August 13, 2004 is a day I will never forget. It was not only the beginning of three  hurricanes back-to-back that trampled across Florida, but it was the day my 9-year-old son, Kyle, was transported by ambulance to Arnold Palmer Hospital.

  • How the collaborative efforts of our medical team saved one little boy’s life

    Written by Dr. Pinnelas, pediatric hospitalist at Arnold Palmer Hospital