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  • Emergency disaster planning for children and their families who live with End Stage Renal Disease

    Written by Barbara Cometti, BA, RN, CDN, Clinical Assistant Nurse Manager, and Jennifer McDonald, RD, LD, CDE, Registered Dietitian, at the Hewell Kids' Kidney Center.

  • The struggle to keep your cool as a parent.

    Have you ever watched those nature shows on television about animals in the wild? I love the ones with the mamas and their babies. Not too long ago, I saw one about a mama bear and her little cubs. They all (including mom) looked so cute and cuddly, until some other animal messed with them. My, how quickly things changed! Mom was immediately on her two back legs, lunging, clawing, and snarling, looking terrifyingly angry. She effectively sent the message that she is not to be messed with, especially when it came to her cubs.

    Sometimes, I feel like that mama bear, too.

    A few years ago, my son was attending a day camp. The camp went on a field trip, and there was a “miscommunication of sorts” between my son and the camp counselors regarding eating lunch. Long story short, he had his lunch with him but didn’t eat it when he was supposed to (he said he never heard them give instructions to eat), and when he asked to eat later, he was told that he couldn’t, and that he had missed lunch and lunchtime was over.

  • September is Childhood Obesity Awareness Month

    It’s nice to finally see the sun peak through the clouds when it comes to obesity rates in children. A recent report from the CDC reveals a decline in obesity rates among preschool children from low-income families. The report shows that from 2008 to 2011, there was a downward trend in obesity rates for young children in 19 states, including Florida.

  • Shaken baby syndrome: A severe and disheartening form of child abuse

    What parent hasn’t felt frustration and helplessness when unable to console their crying infant? Despite being stressed, something deep inside prevents us from inflicting harm to our children. Unfortunately, this impulse control is not present in some parents or caregivers, resulting in a child being vigorously shaken.

  • 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.

  • How much of our parenting is influenced by our friends?

    I read a study this week that discussed how parents’ social networks (online and in real life) affect their decisions about vaccinating their kids. The paper concluded that a parent’s people connections were the most influential factors affecting their vaccination decisions- above educational level, relationship with their healthcare provider, online and print reading sources and economic status. I found it to be really interesting, but as I thought more about it, I found myself saying this: “Well… duh.”

  • Is your teen depressed?

    In the years that I’ve been working with Teen Xpress as a counselor, I’ve seen many different issues with the students: child abuse, trauma, family struggles, stress management, anger problems, to name a few. However, this year, there is one issue that has trumped all the others by far: depression.

  • Webinar with Dr. Amy Smith and her team at the Pediatric Brain Tumor Program

    Once a child has completed treatment for a brain or spinal tumor, what comes next? This week, we hosted a webinar with Dr. Amy Smith, pediatric neuro-oncologist at Arnold Palmer Hospital for Children, and discussed how families make the transition from treatment to long-term follow-up. Dr. Smith and her team at the Pediatric Brain Tumor Program explained some of the ongoing physical, emotional and intellectual challenges that a child might face as a result of their disease and treatment. We also highlighted some of the hurdles that families face when children re-enter the school environment and as the child enters adolescence and adulthood. Learn more about how to help your family navigate this next part of the journey.

  • 12 ways to support families affected by military service

    I recently wrote about some of the parented by active military troops. While not all of us have a loved one serving in the military, we can all support the troops and the loved ones they leave behind. There are organized efforts to provide support to these families, especially around holiday time. In addition to these activities, we can provide emotional and practical support in some simple, every day ways.

  • Coping strategies for families impacted by military service

    I was eating lunch in a local restaurant yesterday and saw a young woman in military clothing sitting with a slightly older woman. I imagined they were mother and daughter and I could see that the mother’s face was animated and smiling.  As I left and nodded to them, I almost felt tearful. I have not served in the military, but it seems that those who do make a significant sacrifice on behalf of the rest of us. I am touched by their willingness to serve.