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  • Dr. Simms-Cendan answers: “When should I take my teenage daughter to the gynecologist?”

    Many parents wonder when they should take their daughter to a gynecologist. Is it with their first period? Is it when they become sexually active? When do they need a pap smear? Some women dread their own appointments and worry their daughters will have a traumatic experience. Well, the good news is that gynecologic care for adolescents has come a long way, and teens can be provided with important information in a sensitive and caring way, and many girls do not even need a pelvic exam!

    What’s Normal?

    First, let me cover a bit of what’s normal. Most girls begin breast development around 10-11 years of age, and the average age girls start their periods in the U.S. is about 12.5 years. Most girls will bleed 5-7 days and cycles occur every 25-40 days. If a girl hasn’t started her period by age 14, she should be evaluated, and although some girls just need more time, others may have a real problem. Many girls have irregular menses for the first 2-4 years after they start their periods, but if a girl has been bleeding more than 10 days per month, they should be evaluated to prevent problems with anemia. I’ve seen girls who have bled for 6 months before seeing a gynecologist and some have been so anemic by then that they required blood transfusion. Most girls will notice an increase in menstrual cramps about two years after they start their periods, as this is when they start to actually ovulate. Severe cramps so that a girl is missing school are not normal and she should also be seen. Finally, if a girl has had regular menses and then the menses become irregular, skipping months or becoming more frequent, she should also be evaluated. Sometimes there is a hormonal disorder that needs to be evaluated.

  • Over-the-counter cough and cold medicine: what you don’t know CAN hurt you

    Did you ever play tag when you were a kid? I remember running around the playground in a desperate panic to avoid whomever was “it." I would run like my life was in jeopardy and strategize about how best to avoid the awful fate of being tagged.

  • Planning “the talk”: The importance of establishing open communication with your teen

    This post was written by the Clinical Social Work Team at Arnold Palmer Hospital and Winnie Palmer Hospital. 

  • Gun Safety: What You Need to Know to Keep Your Child Safe

    In light of the Newtown, Connecticut tragedy, a common safety topic that has been discussed in the news, amongst ourselves, and between patients and their pediatrician is how a family can keep their children safe from guns. Research and statistics tell us that the best way to reduce the chance that a child is hurt or killed from a gun is to simply not have a gun in the home. According to the American Academy of Pediatrics (AAP), the safest home for a child is a home without a gun.

  • Life without a safety net: what happens when kids age out of foster care?

    Like many parents, I could hardly believe it when my son turned 18. “How could he be this old already?” I thought and then “Why is he so different than I was when I turned 18?” My son Brandon, who is now 20, is still living at home, and we are gently pushing him to learn about living on his own. He is part of the generation of kids who are experiencing an extended adolescence. He’s been a little less mature than his peers and this decision makes sense for us and for him. We have some clear steps outlined and he’s following them.  And I’m sometimes tying myself to a chair so I don’t “help” too much.

  • 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. 

  • As extracurricular activities get underway, remember what’s important

    As the school year revs into high gear again, our schedules have already begun to fill up with activities: sports practices and games, after-school clubs, tutoring, Boys Scouts, Girl Scouts, youth groups. Sometimes it feels like a full-time job just getting kids to and from all of their extracurricular activities. It’s not too difficult to become a slave to our children’s schedules.

  • 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.

  • What I wish I’d known when my son was diagnosed with a congenital heart defect

    Written by Trey Flynn

  • Helping families through a yellow bag of sunshine

    As a Customer Service Specialist at Arnold Palmer Hospital for Children, I often meet families who arrive at the hospital quite unexpectedly. They find themselves here for a two to three day stay after what began as a quick visit to the Emergency Department. They may manage to arrive with resources for their child, but are usually without any basic items to take care of themselves. As I move to assist families in such circumstances, my hand often reaches for a bright yellow bag of sunshine that reads: Paul’s Project.

    What is Paul's Project?

    In 2008, a young 4th grader, by the name of Paul Doussan, was given a school assignment to create and implement a community service project. At the time, his family friends, Karen and Mat Gliddon, had just lost their brave 5-year-old son Mathew to Acute Lymphoblastic Leukemia. Through his friendship with the Gliddon family, Paul noticed a need. Parents of critically ill children often end up without the basic resources to make it through an unexpected hospital stay.