Dr. Steven Andreoli and Dr. Gary Josephson discuss and answer viewers’ questions about ear tubes.
Dr. Steven Andreoli and Dr. Gary Josephson discuss and answer viewers’ questions about ear tubes.
What Is Vocal Cord Dysfunction? When a pre-teen or teenager experiences trouble breathing while exercising or playing a sport, many doctors and parents are quick to diagnose the child with asthma. But in some cases, it’s not asthma at all — it’s vocal cord dysfunction, a condition that occurs when the vocal cords do not open correctly. The symptoms of the condition are very similar to asthma, with a child experiencing difficulty breathing or coughing and wheezing. The difference, however, is that vocal cord dysfunction doesn’t improve with a rescue inhaler or a prescription steroid. And for some children, the condition is never diagnosed because, frustrated and distressed, the child quits the activity. But the good news is that vocal cord dysfunction can be diagnosed and treated with the correct therapy. Understanding the Symptoms “Children with vocal cord dysfunction often describe tightness as you’d find in asthma, but opposed to […]
Few things can cause a parent’s heart to stand still like having a teenage child complain of chest pain. Unfortunately, it’s a common complaint. According to national data from 2016, people aged 15 to 24 years comprise 14.2% of all emergency room visits and chest pain is one of the top diagnoses. Causes of Chest Pain Many people have experienced chest pain, and a variety of words are used to describe it, ranging from dull to squeezing. There are equally as many causes, the most serious of which usually involve the heart or lungs. Luckily, in teenagers, the most serious are not the most likely. Frequently, the cause of chest pain in teens is chest wall pain. The chest wall includes the skin, fat, muscles, and bones that form a protective structure around the heart, major blood vessels, lungs, and esophagus. The bones in the chest wall include the ribs, sternum (breastbone), […]
Running is a sport that can be done all year long. For many young athletes, running is their after school sport of choice. Runners can compete in the fall, winter and spring in cross country, run indoor/outdoor track, and train in the summer. Whether a student is running throughout the year or during a specific season, all are prone to running-specific injuries. Shin Splints One of the most common injuries for runners are shin splints, caused by inflammation in the tissues, tendons, and bones in the shin (tibia). This overuse injury can be due to new or increased training. Pain along the tibia is associated with shin splints, as well as sharp or dull and throbbing pain and mild swelling. The pain can last both during and after running, and the area hurts to touch. People with flat feet or worn-out or improper footwear are more prone to shin splints. […]
Dining out is a fun, cultural and social affair that everyone should be able to take part in, including people with diabetes. It can seem daunting for those who need to count carbohydrates and administer insulin. But with preparation, guidance, and practice, dining out with diabetes can become a smooth process! Below are tips for before, during, and after dining to help ensure an enjoyable experience. Before: There is no need to change the types of restaurants frequented. Continue visiting your favorite ones and do not feel limited to ones that offer “healthier” options. In time, you may develop a list of preferred locations due to the helpfulness of staff and information made available by the restaurant. Search for the restaurant’s website online and see if the menu and nutritional information are available. If there is no restaurant website, try calling the restaurant and asking for the same information. If […]
Sports, toys and everyday household items have one thing in common: they can cause eye injuries in children. And in some cases, these injuries can become eye emergencies — situations that require immediate medical attention. The best way to treat eye emergencies is by preventing them in the first place. Be sure your kids use protective eyewear when engaging in sports, play only with age-appropriate toys and don’t have access to household chemicals and utensils. Still, even after you’ve taken these precautions, eye emergencies can happen. Here’s what to look for and what to do if your child experiences trauma to one or both eyes. Chemical exposure Dangerous chemicals are in nearly every area of our home, and if they’re not kept out of a child’s reach, they can cause permanent eye damage. One particularly dangerous culprit: detergent pods, whose bright colors are appealing to kids. “Children may try to […]
This post was written by Anthony’s mom, Debbie. “Something was Different” Anthony was about six months old when I started to notice something was different about his back. He would roll over and try to sit up and there was an obvious bulge/curvature in his spine. I took him to my pediatrician who told me there wasn’t anything to worry about. He informed me that some children take a bit longer to sit up on their own. At this time, I had two-year-old twins at home and was very aware that children progress differently, but there was no overlooking the curve of his spine. Unhappy with that visit, I scheduled an appointment with a specialist at a hospital in Philadelphia, PA. Finally a Diagnosis Anthony was about a year old when he was diagnosed with infantile scoliosis. My family was with me in the room when the doctor put his […]
For most of us, getting medical care right away for a possible brain injury, such as a concussion, is an easy decision. But teen athletes often have a tougher time identifying when they need to stop and get help. Research has shown that as many as 50% of concussions go under-reported in youth sports. The Centers for Disease Control and Prevention (CDC) reports that: 69% of high school athletes said they had played while having concussion symptoms 4 in 10 of these said their coach didn’t know they had a possible concussion These statistics are significant given the amount of children involved in organized youth sports. Why don’t youth athletes report concussions? They didn’t know they had one: While headache is often an easily recognized symptom, dizziness and nausea can be overlooked or linked to something else such as dehydration. Fear of loss of playing time. Not wanting to let […]
In recent years, sports-related concussions in children and teens have helped to raise public awareness of concussions and their long-term effects. As a result, concussions are now being reported and diagnosed more than they were in past years. The Centers for Disease Control and Prevention reported in 2010 that there were 400,000 concussions and brain injuries per year among high school athletes. This increased awareness means that providers are more able to properly diagnose and treat concussions in kids. Why Playing Sports Is Important for Kids When your kids play sports, either on a team or individually, it’s incredibly good for their health and well-being. Sports are a powerful tool that breaks down barriers while also helping kids feel good about themselves, both physically and mentally. Sports also play an important part in a child’s formative years and some schools are more aware of this than others. These schools employ […]
BY: Mayra Alvarez, The Children’s Partnership Debbie Chang, Nemours Children’s Health System Deb Watson, Winter Park Health Foundation Pediatric providers, health centers, schools and school districts, school nurses, parents, child care centers, state government officials, national associations, non-profit advocacy organizations, health plans, and academic institutions filled the room at GuideWell Innovation Center in Orlando on January 26. The purpose? Convened by The Children’s Partnership, Nemours Children’s Health System, and the Winter Park Health Foundation, this diverse group of experts in children’s health traveled to Florida from thirteen different states to brainstorm on ways telehealth in school and child care settings can improve care and access for children, and to lay the groundwork for building a Roadmap for Action. As we prepared for the day, a key topic of conversation was the thriving school and child care telehealth programs in Delaware, Florida, New York, North Carolina, and Texas. The telehealth programs […]
Contributed by Darcy Galnor, whose daughter is a patient of Nemours Children’s Specialty Care, Jacksonville. The morning our daughter was diagnosed with Crohn’s Disease started like any other. We woke up as just a regular young(ish) couple with two kids, jobs and life’s typical stressors. (I guess maybe not entirely typical, unless taking our 5-year-old daughter for a colonoscopy is considered an everyday event). We’d been chasing the cause of her diarrhea for months, maybe even years. Dairy? Nope. Gluten? Nope. Strawberries (her favorite food)? Nope. As we sat in the waiting room, anxiously watching for the doctor to tell us the results, we attempted to distract ourselves with work. Both of us had tablets rested on our thighs, cell phones on the arms of our chaisr. My husband downing coffee. Me biting my nails. Then, the doctor appeared. “She has inflammation throughout most of her GI tract. We’ll wait […]
I celebrated my first National Diabetes Awareness Month in 1990. I was twelve years old, had just started seventh grade, and was very aware of Type 1 diabetes – I’d just been diagnosed with it. Aside from the distinctive smells of insulin and alcohol swabs, I don’t remember much about the time I spent in the hospital after my diagnosis, or about those first few months at home. I do, however, remember the sense of bewilderment that accompanied my family home from the hospital, and how uncertain we were about how our lives would proceed with a chronic condition to manage. If I could go back to that November, there’s so much I would tell my younger self about the reality of living with diabetes. Unfortunately, I can’t – so I’m sharing what I’ve learned here. Don’t panic. It’s true that diabetes can (and will) infiltrate every part of your […]
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