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  • Living life to the fullest despite being diagnosed with cystic fibrosis: Emily's story

    Emily is a vibrant, happy-go-lucky 10-year-old. With white-blonde hair, sparkly blue eyes and a contagious grin, she’s likely to steal your heart as soon as you meet her. To look at her, you’d never know that she has been fighting a serious illness her entire life.

  • When your sibling is sick: dealing with illness in the family

    Being sick isn’t easy, but neither is being the sibling of someone who’s sick.

  • 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

  • How my roles as a woman, wife and mother have made me the doctor I am today

    This post was written by Dr. Brozyna, pediatrician at Arnold Palmer Hospital for Children

  • Reading aloud to your kids affects literacy and school readiness

    Did you know that by the time your child reaches the 3rd grade, experts can reliably predict whether he will graduate high school?

  • ADHD medications: Things you should know as a parent

    Attention deficit/hyperactivity disorder (ADHD) is one of the most common conditions among school-aged children, affecting roughly one in 25 kids. Children with this disorder often have trouble controlling their behavior, which can have wide-ranging effects on their home and academic lives.

  • If news headlines have made you feel like a bad parent, you aren’t alone

    You are a bad parent.

  • Itches and sneezes: Understanding allergies in children

    As I prepare to write about allergies, my poor daughter is sitting next to me sniffling away, red-eyed, stuffy-nosed, and miserable. If you don’t live with allergies yourself, it can be hard to understand how bad this common medical problem can make people feel. But allergy sufferers know that as their season draws near, they can count on disrupted sleep, trouble smelling and tasting food, itching out of their skin, and blowing through boxes of tissues.

    Types of allergies

    Allergies can be perennial, meaning all year long, or they can be seasonal. Perennial allergies are to things like: pet dander, dust mites, molds, and, believe it or not, cockroaches. Here in Florida, where humidity reigns, most of these allergens are everywhere. Seasonal allergies are pollen allergies, and involve trees, shrubs, grasses and weeds. In Florida, where things bloom and pollenate year-round, some unfortunate allergy sufferers can react to multiple pollens during multiple seasons, with little relief between seasons.

    Symptoms to look for

    Symptoms of allergies are many, and are sometimes hard to tell from viral or other illnesses. A common cold follows a rather predictable course: sore throat with or without fever at first, followed by runny nose, followed in another few days by cough. Things get worse over the first week, and then improve over the second week. The flu is marked by high fever and body aches. The hallmark of allergy is the lack of fever, itching of eyes, nose, throat, and/or skin, and the ups and downs of symptoms. Some people have classic allergic rhinitis, with itchy, sneezy, runny nose. Some have allergic conjunctivitis, with red, runny, itchy eyes. Some patients have maddening itching in the back of the throat.  Cough is common in allergy sufferers, and can be from post-nasal drip or from bronchospasm (allergy-induced-asthma is wheezing caused by allergic inflammation). Some allergy sufferers also have itchy dry skin, or eczema.  Complications of allergies can include infections of the ears, sinuses, lungs, and skin.

    How are allergies treated?

    Treatment of allergies may involve determining triggers and eliminating or preventing whatever you can. Sometimes, identifying triggers is easy; for example, if every time your child visits grandma and curls up with the cat she starts to tear and sneeze, your child is allergic to cat dander. You don’t need a test to prove that. On the other hand, allergy tests, which can be blood tests and/or skin tests, can be very helpful in patients with severe symptoms. For example, if your child is often congested and has recurrent sinus or ear infections and turns out to be allergic to dust mites, you can remove carpeting and curtains from his bedroom, encase his mattress and pillow in allergy-control casings, limit plush animals in his bed to one or two, and even run a dehumidifier to kill dust mites. Prevention is considered to be preferable to treatment with multiple medications.

  • Postpartum depression in young fathers

    A recent study published in the journal Pediatrics showed that young fathers, those who became dads at an average age of 25 years, have a 68% increase in depression symptoms within the first five years of becoming dads. This applied to young dads who lived with their children and their wives or girlfriends. Dads who lived away from their children and older fathers did not show that same increase in rates of depression. So why might “postpartum depression” happen to dads? Isn’t that a “hormonal thing” that happens to new moms? But now that we know that this is an issue, can we and should we do something about it?

    What could cause postpartum depression in dads?

    The study carefully made clear that these results only show an association between becoming a dad and an increase in depression. The results do not show that becoming a father actually causes depression in young dads, but it makes sense that it might. They don’t suffer the same physical changes that are going on in new moms, but lots of aspects of parenthood are very stressful for a young dad. First, they are sleep deprived; exhaustion is a known cause of depression. Second, they suffer a kind of loss of their mate. Now mom is busy loving another person, often more than she loves her partner/spouse. Young dads may feel displaced, jealous, and guilty about that at the same time. The relationship between mother and baby is so intense and so culturally unique and special, that a young dad may really feel like a third wheel. Young dads, in particular, may have been enjoying a sort of fantasy new-love relationship with their beautiful partner, and now all of a sudden the rest of life has to do with spit up, dirty diapers, less sex, and a great deal of long-term responsibility. Young dads are also less likely to be secure in their jobs and their income. They may not feel strong in their ability to provide for their new family. All of this can certainly contribute to depression.

    Why does this matter?

    Depressed fathers “read and interact less with their kids, are more likely to use corporal punishment, and are more likely to neglect their kids. Compared to the children of non-depressed dads, these children are at risk for having poor language and reading development and more behavior problems and conduct disorders.” According to lead study author Dr. Craig Garfield, an associate professor in pediatrics and medical social sciences at Northwestern University’s Feinberg School of Medicine, “Parental depression has a detrimental effect on kids, especially during those first key years of parent-infant attachment. We need to do a better job of helping young dads transition through that time period.”

    What can we all do about this?

    Just being more aware of how dads might feel when their babies are born is a start. So much of our focus is on the baby and on how mommy is doing. Dads are usually assumed to be fine, and to be there to help mom. The solution can start with the family and friends. Grandparents, aunts and uncles can offer to change a poopy diaper or two so that dads are not the only ones doing that. It may be a proud role for some new dads to be the diaper guy, but some may really hate it. Friends can take mom out for a walk so that dads can have some quiet, loving, alone time with the new baby if they want that. Or, if dad just needs to get out of the house for a while, friends can offer to watch over mom and the baby so that dad can get a break. Nights can be tough too, especially if dads have to go to work every day. Many young dads cannot afford to take leave from work when a baby is born, so they work all day and then try to spell mom during the night. Family and friends can spend a night here or there filling in for dad so that he can get a few full nights of sleep if that is an issue.

  • On Mother's Day, remember the mothers of sick children

    "Motherhood is the hardest job you’ll ever love."