Menu
Virtual Visit Request an Appointment ER Wait Times
Search
Back

Filter By

All Search Results

  • Tips from a pediatrician on how to have a successful school year

    Another school year has already started. Does your child gladly go to bed on time and jump up refreshed at 0-dark-thirty to pop into school clothes and get to school energized? Or are you fighting to get him to bed, dragging him out in the morning, getting him to the bus with no food in his tummy? If the second scenario is yours, I think I can help you. Even if you relate best to the first scenario, maybe there is something here for you, too!

    Sleep is more important than food!

    I tell my patients, and this is true, that you can go without food longer than you can go without sleep. Sleep supports so many body functions that without enough sleep, your child will not learn, play, or grow well. For starters, get the electronics (TV, phones, games) out of children’s bedrooms. Those should be used socially anyway, and they interfere with both falling asleep and staying asleep. Bedtime should be about the same time every night, even on weekends, and should be early enough to guarantee at least eight hours or so of uninterrupted sleep (up to ten hours for younger children). If your child’s summer bedtime has been ridiculously late, try moving bedtime up by 15 minutes or so every few nights, not allowing for naps or “sleeping in,” so that her clock will gradually reset to a healthy schedule.

    But food is important, too!

    Breakfast is, indeed, the most important meal of the day. Without breakfast, your child’s body will produce calories for the morning by breaking down muscle to release stored energy. This process also produces some chemicals that make your child crabby and groggy. Children who don’t eat breakfast don’t feel or think as well as those who do. That does not mean that your child needs to eat two eggs, bacon, toast, and juice at 6 AM. But it also does not mean that they should have a pop tart and call that breakfast. Even the grumpiest teenager can gag down an instant breakfast drink and a half a banana, or a smoothie made with fruit and yogurt, or a piece of toast with peanut butter and half an apple. A perfect breakfast should include a complex carbohydrate (like whole grain bread or cereal for example), some dairy source for calcium (milk, yogurt), some protein (meat, milk, legume like peanut butter), and a fruit and/or vegetable. A small glass of milk with half a turkey sandwich with lettuce and tomato is a great breakfast, and you could send the other half sandwich for lunch! If your child “is not hungry,” that makes sense, but it does not mean he does not need the fuel. He can eat on the bus or in the car.

    Refill the tank mid-day

    A slice of pizza, juice, and a bag of chips is not a good lunch. If your child buys lunch at school, he can be taught to eat smart; school lunches do provide fruit and vegetable choices. Drinks are healthier now, too; most children (including teens) should only drink milk and water. Everything else (juice, soda, sports drinks) is just sugar-water. Energy drinks are not only empty calories, but also potentially toxic chemicals that interfere with sleep, affect heart rate and blood pressure, and who knows what long term effects that we don’t know yet. Packing a lunch for your child is a great option. I have done it now essentially every day for 17 years. It takes me 15 minutes each morning and my kids leave with a healthy sandwich or hummus and pita, a whole fruit, a bag of berries or grapes, another bag of veggies (carrots, peppers, sliced cucumber, grape tomatoes), one treat (like a 100 calorie bag of cookies or crackers) and a flavored water beverage. When my older children were in high school they actually had friends ask if they could send me money each week so I could make them lunches, too! Children are smart people. If you teach them well, they will get it!

    Spend quality time, but don’t hover

    Your child needs you, but, honestly, not as much as you need her. Asking about school, offering to help with homework or personal issues, helping to set goals to do her best: that is your job. Living her life is not. Helicopter parents are harmful, not helpful. That said, help your child to set up a routine after school so that there is a quiet place to focus on homework, time for physical activity (at least an hour each day), very limited passive “screen time” (less than two hours a day). Be available if she needs help. A family dinnertime, even if it is late, is a great time to talk about the day, to listen and to plan. Organizing in the morning should be your child’s job. You can double check for a while that things are all being completed, packed and turned it, but let it be her job.

    Expect issues

    Listen to your child so that you can help him with what he really needs help with and not with what you want to help with. Don’t be afraid to be MOM (Mean Old Mom), setting limits or making rules that “other kids parents don’t…” Seek help, either from your pediatrician or from a counselor, if you don’t know what to do or say. They don’t come with instructions! Most important, be open and honest with your children. Ask them how they feel and tell them how you feel. You are not your child’s best friend, but you are her best ally. Have a happy and successful year!

  • Get to know Dr. Jeffery Johnson, pediatric nephrologist at the Hewell Kids’ Kidney Center

    The Hewell Kids' Kidney Center at Arnold Palmer Hospital oftentimes becomes a home-away-from-home for many children needing outpatient dialysis treatment in Central Florida. The Hewell Kids' Kidney Center cares for children who have been diagnosed with with kidney-related disease such as end-stage kidney disease and obesity-related kidney disorders, as well as those who have undergone a kidney transplant. The team consists of several pediatric nephrologists, nurse practitioners, renal nurses, nutritionists, and social workers. The team recently welcomed it's newest member, Dr. Jeffery Johnson, pediatric nephrologist, in June of this year. Get to know Dr. Johnson in the Q & A below!

    Where did you grow up?

    I grew up all over since my dad was in the Air Force. We finally settled in Ohio when I was in high school and then I moved to California in my adult years. I had lived in Los Angeles, CA for the past 14 years before moving to Orlando.

    Where did you go to school?

    For my undergraduate I went to Washington University in St. Louis, MO and then attended Case Western Reserve School of Medicine in Cleveland, OH for medical school.

    What did you want to be when you were a little kid?

    I wanted to be a soccer player, even though I was horrible! I didn’t know I wanted to go into the field of medicine until halfway through college. I thought I wanted to do medical research, but after I started doing it I realized it wasn’t for me. With medicine, there is something new every day, which keeps me going.

    What was your first job?

    I worked in a games department at a local amusement park. It was a lot of fun. I worked there in high school and through my first year of college.

    What are your hobbies?

    I run a lot – almost every day. Today I’ll be running eight miles. I like to scuba dive and travel. Bali was probably my most favorite place I’ve traveled to so far.

    What is your favorite sports team?

    The Cincinnati Bengals even they break my heart every year!

    How did you get into pediatric nephrology?

    It was when I did a pediatric nephrology rotation as part of my medical training that I knew that was what I wanted to do – it was very interesting to me.

    How did you know you wanted to work with kids?

    It was probably after my second or third month of working in the adult emergency room that I felt called to work in pediatrics. My mom and sister are both elementary school teachers, so I’ve spent most of my life being around and working with kids.

    When did you start at Arnold Palmer Hospital and what is it like working at the Hewell Kids’ Kidney Center?

    I moved to Orlando for this job and have been here since June 2014. One of the things I love about working here is the team that I am a part of. Everyone is fun and easy to work with. We usually all eat lunch together. It’s like a family here, which is evident in how we care for our patients. We take a team approach in being able to provide comprehensive care to our patients, and everyone is usually on the same page as far as what the protocol should be and what the treatment plan should look like.

    What is it like working with the whole family and not just the patient?

    It’s a fine balance, because I always try to acknowledge and engage the child while also working with the parents and families. But it’s something that I really enjoy. It might not always be an easy day at work, but being able to care for kids and knowing that I am helping them is a great feeling.

    What is one piece of advice that you always communicate to families and patients?

    I think one of the most important things in our patient population is for them to be taking their medicine. In our transplant population, most of them are on an immunosuppressant, and if they don’t take their medication for a few days, they could end up losing their kidney or having recurrent kidney disease. It’s important for me that they understand the importance of taking their medicine and that the family ensures that they will follow through with the treatment plan at home.

    What would you say has been your greatest accomplishment?

    I would say it was when I took over the dialysis unit at Children’s Hospital of Los Angeles. I had to basically redo the unit and start over from scratch, building it from the ground up.

    What is one thing that patients and families wouldn’t otherwise know about you?

    I want families to know that I am honest with them, whether I have good or bad news to share. I would want my physician to be honest with me, so I try and do the same for our families.

    Click here to learn more about the Kids’ Kidney Center at Arnold Palmer Hospital

  • How I’m teaching my child to treat others with special needs

    I was with my two kids recently at an indoor play place when a teaching moment happened upon us. We saw a little boy there with his mom, and he was sitting in a wheelchair. My 4-year-old looked at him curiously and then asked (in a rather loud voice), “Mom, why is he sitting in that chair instead of walking?”

  • Learning to slow down and enjoy quality time with my son

    About two weeks ago, my 8-year-old son was feeling yucky. The excessive amounts of pollen floating in the air caused his nose to get stuffy, his throat and head to hurt, and his eyes to water. We gave him a day off from school to rest. On that day, he lay down on my bed to chill out. He wasn’t really tired enough to fall asleep, but at the same time, didn’t really feel up to doing much of anything. I lay down next to him.  We talked a little, I stroked his hair, handed him tissues.  It was the first time in a long, long time that we were still together, not doing anything. Despite the fact that he wasn’t feeling well, it was really nice. It reminded me of when he was really little, and I realized that I missed doing that with him.

  • Breastfeeding? Be sure you know how to handle and store your milk safely

    If you’re breastfeeding your baby, you may decide to express some milk to be used at a later time. Using a breast pump allows you to collect milk to be used when you’re not with your baby and also gives your partner or another caregiver the opportunity to help you with baby’s often demanding feeding schedule. Many nursing mothers enjoy the flexibility of pumping and storing breast milk, and it becomes a necessity for those who desire to continue breastfeeding as they head back into the workplace.

  • Making Kids Feel Like Kids: What it’s like to be a Child Life Specialist

    Most kids don’t want to step foot inside of a hospital. Luckily for the children treated at Arnold Palmer Hospital for Children, the Child Life staff improves the hospital experience. And for the kids being treated at the Center for Children's Cancer and Blood Disorders, Child Life Specialist Lauren Hamed and team focus on making extended stays and routine visits full of therapeutic interactions.

  • NICU nurse who developed special pacifier pushes for more babies to have access

    In time for Mother’s Day, the nurse who developed the groundbreaking “preemie pacifiers” is asking the American Academy of Neonatal Nursing to make sure more babies to have access them. Harriet Miller, Ph.D, ARNP, is a nurse in the neonatal intensive care unit (NICU) at Winnie Palmer Hospital for Women and Babies. After years of working around preemies she developed the special pacifier after noticing that the tiniest of her patients in the NICU did not have a voice.

  • Do you think your child may have ADHD? Here are the next steps to take.

    Attention Deficit Hyperactivity Disorder (ADHD) is one of the most common medical issues affecting children, with an estimated 5 to 11% of children in the U.S. diagnosed with the disorder. Despite its prevalence (or perhaps because of it), an ADHD diagnosis for a child often brings with it feelings of stress, frustration, confusion and fear for parents. There are multitudes of conflicting opinions floating around about ADHD, and many parents find it difficult to decide which voices to listen to and how to make the right decision for their child.

  • Laundry detergent pods may be convenient, but can pose serious poisoning risk to children

    The convenience of being able to throw a laundry pod into the washer without having to measure out liquid or powder detergent is a time saver, for sure. However, for families with small children, the benefits do not outweigh the potential risks. Because toddlers love to explore their surroundings, and oftentimes find themselves into things they shouldn’t be, laundry pods pose a serious poisoning risk to these curious adventurists. The bright colors of the laundry pods can be easily mistaken for juice or candy, and the soft, pliable texture make it fun for kids to squeeze or play with. What they don’t realize is that this “fun toy” could be detrimental to their health, and it could land them in the emergency room in a matter of seconds.

  • Why the outbreak of measles at Disneyland is important to your family

    Over the Christmas holiday, a person who was carrying the measles virus visited Disneyland. Five park employees and dozens of visitors then became ill. The outbreak has ballooned to include not only people who visited Disneyland but also people who came into contact with those individuals. So far this year, 84 people in 14 states have been infected with measles, and this number continues to rise.