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Health Conditions

Childhood Cancer Awareness Month: Madison’s Story

“Madison has a history with cancer,” says her mother, Erin. She’s received a diagnosis that no family should have to face not just once, but twice. At the age of 2, Madison was diagnosed with bilateral retinoblastoma, a type of eye cancer that affects the retina, the inner layer of the eye. A subtle “glow” in her eye caught her parents’ attention, leading them to see an ophthalmologist at Nemours Children’s Hospital, Delaware. The journey that followed included six months of chemotherapy and the removal of her left eye. During this time, Madison and her family worked closely with oncologist, Dr. Gregory Griffin. Dr. Griffin played a big part in her journey and their family had a great experience with him. Madison also had amazing doctors from Wills Eye Hospital in Philly. Dr Carol Shields and Dr. Sara Lally were integral in her treatment.   Years later, at the age of 12, Madison faced […]

Childhood Cancer Awareness Month: Marjorie’s Story

Born at 27-weeks, weighing 1 pound and 15 ounces, Marjorie spent her first two and half months of life in the NICU. Following discharge, she was seen at Nemours Children’s Health, Jacksonville for hip dysplasia and eye checkups. When she was 7 months old, Marjorie’s parents noticed her belly was very distended. It continued to swell quickly, so her parents brought her to the pediatrician. After an ultrasound confirmed a mass, the family was rushed via ambulance to Wolfson Children’s Hospital where she first met Dr. Gauger. “Following multiple scans and tests, we heard the words you never want to hear, ‘Your child has cancer,’” says Marjorie’s mom, McCall. “Marjorie was diagnosed with neuroblastoma 4S. She spent three weeks in the hospital and was readmitted for more chemotherapy before being discharged on July 11, 2015.” After discharging, Marjorie continued to be followed by her oncology team at Nemours Children’s. “Through […]

Nutrition in Sickle Cell Disease

Keeping your child healthy and strong. Children with sickle cell disease (SCD) have lower levels of certain vitamins, minerals, proteins and other nutrients. That’s because their bodies turn over red blood cells so fast that nutrients are broken down faster than normal. When the body doesn’t get the nutrients it needs, it leads to malnourishment, anemia (low iron), frequent infections, poor growth and development, and other complications. At the Nemours Children’s Center for Cancer and Blood Disorders, our team incorporates nutrition into the overall treatment plan for kids with SCD. We know that good nutrition helps to support growth, restore energy, improve immunity and strengthen muscles and bones. Good nutrition can also reduce pain crisis and the side effects of certain treatments. This can help decrease the number of hospital visits and improve overall health as your child grows. Essential Vitamins and Minerals for SCD A child with SCD takes […]

Q&A: Infantile Spasms (IS)

Q&A: Infantile Spasms (IS)

Infantile spasms (IS) is a rare, but serious type of seizure associated with a unique, very abnormal brain wave pattern that can have a catastrophic effect on a young, developing brain.  What do these seizures look like? These seizures can be subtle and consist of repetitive movements occurring in clusters. These movements are brief and consist of head drops or head bobs with brief jerks followed by flexion or extension in the child’s extremities. The eyes may widen and roll up.  How are they different from sudden startles? These seizures typically occur in clusters of repetitive movements, often when the child is waking up from sleep. After these clusters, the child may cry or become irritable.  What are other symptoms that I may see? At times, the child may cease to make further developmental gains, or have regression in their developmental milestones. What age does Infantile Spasms tend to occur? At any […]

5 Myths about Epilepsy

5 Myths About Epilepsy

Being diagnosed with epilepsy (a nervous system condition that causes seizures) can be alarming and frightening for parents and caretakers. Part of this worry is likely due to some misconceptions about this disease. Let’s talk about 5 myths surrounding epilepsy that should be debunked.  1. We’re alone. You’re not alone. Epilepsy is not rare. In fact, it’s one of the most common diseases we see in neurology. More people live with epilepsy than people with autism spectrum disorders, Parkinson’s disease, multiple sclerosis, and cerebral palsy – combined! A study published in 2011 found 1 in 26 people will develop epilepsy during their lifetime. That’s like one child in each classroom at a typical school! So it’s not as rare as you may think. Because of this, there are several support groups to help people who are newly diagnosed become familiar with epilepsy and help them navigate their life with this new disease.  2. I cannot be successful […]

Anxiety in Kids: Know the Signs

Anxiety in Kids: Know the Signs

While back to school season is usually an exciting time for most students, many kids and teens may also be feeling anxious or worried about what this school year might have in store. For many students, this is the first time they will return to in person learning since the COVID-19 pandemic began. While some may be looking forward to getting back to their normal schedules, there are those who are struggling with returning to school under new conditions.  A lot of kids and teens have struggled with stress and uncertainty over the last year because of the disruptions to “normal” life caused by the COVID-19 pandemic. While returning to in person learning has many benefits for mental health and well-being, especially increased socializing that is crucial for kids and teens, your child may also have some concerns about heading back to school this year, including: Being behind other classmates […]

Nut Allergies: What Friends and Family Need to Know | Promise: Powered by Nemours Children's Health System

Nut Allergy Safety Guide for Friends, Family, and Caregivers

For parents whose children live with an allergy to peanuts or tree nuts, avoiding the ingredients can become a matter of cautious routine. It’s never easy, but parents grow accustomed to avoiding certain foods and contaminants, watching for symptoms, and carrying the necessary supplies in case of an accidental exposure. But what about friends, friends’ parents, or other family members? It can be hard to give a simple overview of the dangers and limitations that come with a peanut or tree nut allergy – especially when you’re trying to allow your child to live a life that’s as close to normal as possible. Here’s what friends and family members should know about caring for or spending time with a child who has a nut allergy – whether it’s a sleepover, family vacation, or a babysitting gig. Why Peanut and Tree Nut Allergies Should Always Be Taken Seriously No matter what your […]

Expert Question and Answer

Expert Q&A: Osteogenesis Imperfecta (OI)

Questions about osteogenesis imperfecta (OI), or “brittle bone disease,” are answered by pediatric orthopedics experts at Nemours Children’s Health. Q: When should people with OI get rods in the bones in the legs? A: We view realigning and rodding the bones in the legs, femurs and the tibias as a way to address deformity or bowing that is interfering with each patient’s motor development or causing recurrent fractures. We feel there is no minimum age, this is something that we really do value, continually assessing on an individualized basis to help each patient reach their potential. Q: How would you describe the use of orthotics in patients with OI? A: The word orthotics generally refers to all types of braces or things we put on patients’ arms or legs to help them function better. We use them on a case-by-case basis. Years ago we used to use heavy long leg […]

Expert Question and Answer

Expert Q&A: Vascular Anomalies

In this Q&A, pediatric ENT physician Steven Andreoli, MD, and pediatric interventional radiologist, Craig Johnson, DO, discuss and answer parents’ questions about vascular anomalies. The experts begin by discussing common types of vascular anomalies. An infantile hemangioma is a type of birthmark that happens when a tangled group of blood vessels grows in or under a baby’s skin. Infantile hemangiomas become visible in the first few days to weeks after a baby is born. Hemangiomas that are visible at birth are called congenital hemangiomas. They grow differently and are treated differently. Infantile hemangiomas are much more common than congenital hemangiomas. There are two main types of infantile hemangiomas: infantile and deep. A lymphatic malformation is a clump of abnormal lymph vessels that form a growing, disorganized, spongy cluster of cysts. Lymphatic malformations appear as masses (unusual growths), but they are benign (not cancerous). A venous malformation is a place in the body where veins haven’t developed in the usual […]

Expert Question and Answer

Expert Q&A: Sleep Apnea

During this Q&A session, pediatric otolaryngologists, sometimes called ENTs (ear, nose, and throat specialists), Nicole Aaronson, MD, and Steven Andreoli, MD, discuss sleep apnea. Q: Are there any connections between sleep apnea and heart conditions? A: Some of the rare complications of long-term sleep apnea can impact the heart. Children with congenital heart diseases are monitored very closely for sleep apnea symptoms to avoid extra strain on the heart during sleep. A child that is showing signs of heavy breathing, disordered or irregular breathing, should have a sleep study.  Q: How do I know if my child needs a sleep study? A: If your child is younger than 2 years old and shows signs of sleep apnea symptoms, they should have a sleep study. Also, obese kids might need a sleep study.  Q: Are there any differences between adult and children’s sleep apnea? A: There is some crossover there, but […]

Expert Question and Answer

Expert Q&A: Cerebral Palsy

During this Q&A session, Kathleen Miller-Skomorucha, occupational therapist, and Carrie Sewell Roberts, social worker, answer questions about maximizing the potential of your child with cerebral palsy (CP) by working with your care team to set goals. Carrie is a social worker and mom to a 13-year-old daughter with CP. Throughout this discussion, she shares with us different examples of what has worked for her family, but also a plethora of resources families can use for their own means. When you’re thinking about setting goals for your child’s future, an important first step is to set a framework. For example, there’s a structure called “Person-Centered Future Planning.” She talks about ways families can use resources like the ones below to work with their child and care team to create shared goals. Kathleen is an occupational therapist who treats patients with CP. She shares her unique perspective as a therapist, discussing goals for therapy. It’s important […]

Expert Question and Answer

Expert Q&A: Adenoids & Tonsils

Dr. Nicole Aaronson and Laura Eisel, PA-C, discuss and answer questions about adenoids and tonsils. Watch this video to learn more about: What adenoids and tonsils do Symptoms and treatment of enlarged adenoids Symptoms and treatment of tonsillitis Adenoidectomies and tonsillectomies View the video on Facebook to leave a question in the comments section.

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