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Navigating Vocal Cord Dysfunction: Emma’s Story

At 13 years old, Emma keeps a packed schedule. She’s a multi-sport athlete, playing field hockey and lacrosse and running track. All sports that require endurance, strength, and, of course, strong breathing. But in the summer of 2024, during a track meet, Emma found herself struggling to catch her breath. Emma had experienced breathing issues before and had even been treated for asthma as a child. But this time, things felt different. So, her family turned to a place they knew and trusted: Nemours Children’s Hospital, Delaware. “We’ve been going to Nemours Children’s since Emma was little,” says her mom, Melissa. “Even though we don’t live super close, we’ve always been happy with the care we’ve received there. We continue to go back when we need care beyond what our family doctor can provide.” Emma first saw the pulmonology team at Nemours, but after a thorough evaluation, they suggested the […]

Allison: Tetralogy of Fallot, Hip Dysplasia and Ear Tubes

“Giving back and helping others is one of the best feelings. To know you helped someone when they were feeling scared and alone.” – Allison, Former Patient, Current Nemours Associate I’m Allison and I’m 26 years old and I work in the Nemours Cardiac Center at Nemours Children’s Hospital, Delaware in Wilmington. I was diagnosed at birth with Tetralogy of Fallot with anomalous origin of the anterior descending coronary artery from the right coronary artery. I had my first open heart surgery at 4 days old for the transannular patch to repair the ventricular septal defect (VSD). In all, I had three open heart surgeries (two in 1998 and one 2013), six cardiac catheterizations and two loop recorders (in 2020 and 2023, respectively). I was also diagnosed at birth with hip dysplasia in my left hip, and I wore a Pavlik harness [a shoulder harness that attaches to foot stirrups] […]

Home Sweet Home: Seth’s Story

At just seven years old, Seth has already overcome more challenges than most face in a lifetime. Seth’s health challenges began when he was just three years old. What initially seemed like persistent allergies turned out to be something much more serious. After multiple doctor visits, his family discovered a tumor growing in his sinus tract. The day after Christmas in 2020, they rushed to the Nemours Children’s Hospital, Delaware emergency department, expecting a routine visit. Instead, they never went home. Seth was diagnosed with rhabdomyosarcoma, a rare and aggressive cancer. The tumor not only blocked his airway but also led to severe complications, including serious blood clots. Within his first week at Nemours Children’s, he underwent multiple emergency surgeries. “He had surgery Monday, Wednesday, Friday, and Sunday that week,” shares Deborah, his great-aunt who has cared for him since infancy, and has been by his side throughout his entire […]

Coordinated Care: Micah’s Story

Micah’s journey began with some unexpected twists and turns, before he even entered this world. “Before Micah was born, we received the news that he might have Down syndrome through routine blood work during pregnancy,” shares his mother, Kaitlyn. “It was a whirlwind of emotions, but we leaned on the support and expertise of Nemours from the very beginning.” Kaitlyn’s family have been seeing providers at Nemours Children’s throughout the Delaware Valley ever since her firstborn arrived prematurely. Her GYN office recommended Nemours Children’s, and they found the care to be exceptional, so they continued with Micah’s treatment there. It was his team at Nemours that diagnosed Micah with Trisomy 21, commonly known as Down syndrome, along with clubfoot and a cardiac concern – coarctation of the aorta. Nemours became their beacon of hope, with a multidisciplinary team ready to address Micah’s complex needs. From the Trisomy 21 Clinic to […]

Doctors’ Day Spotlight: Nicole Aaronson, MD, MBA

Meet Dr. Nicole Aaronson, Pediatric Otolaryngologist at Nemours Children’s Hospital, Delaware. Since she was a little girl, Dr. Aaronson held a passion for problem-solving, science, and aiding others. Because of this, she set her sights on a career in medicine early on. It was during her medical school years that she decided she wanted to be a surgeon, fueled by a desire to fix problems with her hands. This drive led her to pursue a fellowship, ultimately guiding her to Nemours Children’s, where she found a home among like-minded individuals dedicated to providing care to every child who walks through the doors. “What I love about Nemours is that everyone is here trying to do the right thing for our patients and families,” says Dr. Aaronson. “Otolaryngology is a very busy division with a lot of clinic visits, OR cases, and inpatient consults. This could feel overwhelming, but our team […]

Meet Dr. Gary Josephson and Dr. Patricia Solo-Josephson

In the world of medicine, it’s not uncommon for doctors to meet for the first time while in school, during their residencies, or even at a hospital! That’s how Dr. Gary Josephson and Dr. Patricia Solo-Josephson first met—in Miami, Florida at Jackson Memorial Hospital. Later, in the year 2000, Gary was offered an ENT position at Nemours Children’s Health, Jacksonville. The pair decided to make the move to Jacksonville from Miami and the rest is history! In 2016, Patricia also joined the Nemours Children’s team when she was offered to work as a pediatrician in the telemedicine division in Jacksonville. Today, Gary is the Chief Medical Officer of Nemours Children’s Health, Jacksonville and Patricia works in the Telemedicine Division of the Center for Health Delivery Innovation. Dr. Josephson and Dr. Solo-Josephson love the vision and mission of Nemours. They both cherish the opportunity to work for an organization who cares […]

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: 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.

Expert Question and Answer

Expert Q&A: Ear Tubes

Dr. Steven Andreoli and Dr. Gary Josephson discuss and answer viewers’ questions about ear tubes.

A Guide to Objects in Ears, Nostrils and Mouths by Robert Sprecher, MD | Promise: Powered by Nemours Children's Health System

You Got What Stuck Where?! A Guide to Objects in Ears, Nostrils and Mouths

It seems like everyone has a story that involves a child, a small object, and an orifice: a bean in a nostril, a pebble in an ear—maybe even a swallowed Barbie shoe or penny. It’s no wonder these instances are so common. Kids are naturally curious, and their worlds contain so many things that fit just so in the body parts they’re learning to explore. So what do you do when your child becomes one of these stories? It all depends on two things: what’s the object, and which opening is it stuck in? First things first: If you know or suspect that your child has swallowed a button battery, get to the emergency department immediately. Swallowed batteries can cause esophageal perforation (a hole in the tube that carries food from the mouth to the stomach), and other life-threatening injuries—sometimes within hours. It’s also time to head to the ER […]

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