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  • Battling Kawasaki disease: Ava's story

    Ava is a bubbly, outgoing 5-year-old. She loves princesses and playing dress-up, and she makes a new friend everywhere she goes. The highlight of her day in her Pre-kindergarten class? Getting chosen to be the line leader.

  • 5 tips for helping your child with autism manage their daily routine

  • Hearing the “A” word: autism

  • Are your kids stressed or anxious?

    This post was written by the Patient and Family Counseling team at Arnold Palmer Hospital for Children. 

  • Healthy skin habits: Dr. Davis explains why it's important to teach kids at an early age

    With our recent cold snap finally over, summer and warmer temperatures are just around the corner. As we spend more time outdoors in short sleeves and shorts, we need to remember how important it is to protect our skin! Although everyone loves “a tan” for the summer, this is actually a sign of skin damage. Protecting our skin by using sunscreen and other forms of sun block is the first (and most important step) in keeping our skin healthy and preventing the most deadly form of skin cancer, melanoma. Did you know that most of our sun exposure and skin damage from the sun happens before the age of 18? Developing healthy skin habits as children and maintaining these habits through adulthood is essential to keeping our skin healthy over our lifetime!

    How does the sun damage our skin?

    The sun produces invisible ultraviolet (UV) rays as part of the light it radiates to earth. These are the rays that are damaging to our skin and eyes. There are three different kinds of UV rays:  UVA, UVB, and UVC rays. UVA rays are responsible for skin aging, wrinkling and causing melanoma. These rays make up the majority of our daily sun exposure. UVB rays are responsible for causing sunburns and cataracts of the eyes. They also contribute to melanoma as this form of skin cancer is most common in adults who had several severe sunburns as children. What is concerning about melanoma is that we are seeing it in an increasing number of young adults and even teenagers. Both UVA and UVB rays pass easily through the earth’s protective ozone layer. UVC rays on the other hand are thought to be the most dangerous types of UV rays but are blocked by the ozone layer and never reach the earth’s surface.

    What about melanin in our skin?

    Melanin is a chemical in the skin that absorbs UV rays and causes our skin to tan. Everyone has a different level of melanin in their skin. Fair-skinned people have less melanin while darker complexions have higher concentrations of melanin. A common misconception is that darker skinned people do not “burn” or get skin cancer. Regardless of the concentration of melanin in the skin, anyone can get a sunburn or develop melanoma. Any amount of tan is damage to the skin whether you are fair skinned or not.

    So how do we protect our skin from the sun?

    Kids can get a sunburn just from playing in the backyard on a sunny day- not just during a day at the beach!  First and most importantly, all children (and adults) 6 months and older should always wear an SPF 30 before going outside for any length of time. SPF stands for sun protection factor and the number indicates the amount of time you can spend in the sun before getting a sunburn. For example, if you start to burn in 10 minutes without sunscreen, applying SPF 30 will allow you to stay in the sun 30x longer before starting to burn (ie-300 minutes). Other ingredients such as zinc oxide and titanium dioxide offer the greatest protection against the entire spectrum of UV rays. Sunscreen should be applied 15 minutes before going outside to allow for adequate absorption into the skin. For most kids, two ounces (a shot glass full) of lotion should be enough to cover the entire body. Spray-type sunscreen should still be rubbed in after applied to the skin to ensure there are no missed spots.  Don’t forget to apply to commonly neglected areas such as the scalp, lips, ears, back of neck, and tops of feet! Sunscreen should be reapplied every two hours while outside, especially if swimming or sweating.  Remember, there is no such thing as waterproof sunscreen! This means you may go through nearly an entire bottle of sunscreen during a full day at the beach. Children under 6 months of age have more delicate skin and underdeveloped levels of melanin. They should not have sunscreen applied to their skin at all. Keeping young babies out of the sun altogether is best. However, if this is not possible keep them completely covered up with clothing and under a covered stroller or tent while out in the sun.

  • Is genetic testing right for my child?

    Angelina Jolie shared publicly last month her decision to have a preventive double mastectomy after genetic testing revealed that, due to a mutation in the BRCA1 gene, she carried an 87% risk of developing breast cancer and a 50% risk of developing ovarian cancer. Jolie identifies her mother’s decade-long struggle with ovarian cancer and death from that disease six years ago as one of the primary influences behind her decision.

  • Choosing the right summer camp for your child

    When I was growing up, my mother was a stay-at-home mom, and we spent a lot of time at home during the summer. It was a time my sister and I could play in the woods, eat popsicles, read and help my mother sew Barbie clothes (Yes, she deserved a medal for that endeavor!). My family didn’t take a lot of formal vacations, but my siblings and I participated in a variety of activities that made summers feel special.

  • 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.

  • Preventing Child Abuse in Organizations and Youth Programs

    There are some advantages to having an adult child (The primary disadvantage is that I really feel old now that he’s an adult!). One of the advantages is that I no longer have to worry about him suffering child abuse while in the care of others. We were fortunate that the adults in his life at school, after-care, summer camps, art classes, sports and religious school were talented and caring.

  • Decoding the new sunscreen labels.

    As you stock up on sunscreen for the summer, have you noticed that the sunscreen bottles look a little different this year? That’s because starting this year, the FDA requires that companies be transparent about what’s actually in the bottle, and what kind of protection the sunscreen provides. And as skin cancer remains the most common cancer in the U.S., this new, clear-cut labeling will help consumers make more informed choices that will help better protect themselves against potential sun damage.

    The old vs. the new

    So, what’s the difference between the previous sunscreen requirements and the new, updated requirements? The old sunscreen rules focused almost entirely on sunburn prevention, which is primarily caused by ultraviolet B (UVB) radiation from the sun. However, these rules overlooked the importance of providing protection against ultraviolet A (UVA) radiation, which contributes to skin cancer and early skin aging. After reviewing the scientific testing abilities of sunscreens, the FDA concluded that it was important to establish a “broad spectrum” test – a test that would show that the product provides UVA protection that is proportional to it’s UVB protection. This new test would allow for an even greater opportunity to protect individuals from sunburn and sun damage.

    What exactly should I be looking for on the new labels?

    It’s often easy to overlook the details on product packaging, as long as the packaging looks appealing to the eye. However, there are a few details you should take note of when purchasing a new bottle of sunscreen.