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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 […]

While some children and infants have been sick with COVID-19 and suffered complications from the virus, very few have been hospitalized, and adults still make up most of the known cases to date. However, there are still many unknowns about the virus and new information unfolds every day. Multisystem inflammatory syndrome in children (commonly known as MIS-C or PMIS) is a serious condition that has occurred in some children who have contracted COVID-19. This complication causes a significant inflammatory response in a child’s body that can cause a fever, abdominal pain, nausea, vomiting, diarrhea, rash, and signs of shock. MIS-C typically presents several weeks after a COVID-19 exposure or infection. Know the Signs of COVID-19 The symptoms of COVID-19 are similar in children and adults. However, children with confirmed COVID-19 have generally shown mild symptoms such as fever, shortness of breath and cough. Abdominal pain, vomiting, diarrhea and headache have […]

Who recalls the joy and excitement of their baby gobbling up all sorts of messy foods? One of my favorite photos of my son is him at 7 months old with a yogurt beard. As parents and caregivers we often work so diligently in those early introductions of solids — whether it’s spoon fed purees or baby led weaning. But something tends to shift in those toddler years. Our little ones have more awareness of hunger and satisfaction cues and their preferences for flavors emerge. We often see children start refusing those previously accepted foods and showing a liking for specific foods. It can be daunting not to comment on our child’s negative responses to food or trying to persuade them to “just take a bite.” Listed below are some tips to help you navigate these picky eating behaviors. Understand Hierarchy of Feeding Ellyn Satter, a dietitian who is recognized […]

America, we have a problem. One in five American children and adolescents are obese. Obesity is highest among adolescents 12-19 years-old compared to younger children. How do you know if your teenager is obese? Your teen’s Primary Care Provider (PCP) measures Body Mass Index (BMI). BMI is weight in kilograms divided by the square of the height in meters – yay for BMI calculators! Teenagers’ BMIs are expressed as percentiles: Underweight: below the 5th Healthy: between the 5th and 85th Overweight: above the 85th Obese: above the 95th Why do parents need to worry? Because facts are facts: obese children are more likely to become obese adults, and obesity increases the risk of problems including diabetes, heart disease, and cancer. Also, we live in a society where weight bias and discrimination, or “ fat shaming,” is rampant.  Fat shaming triggers physical and emotional and physiological changes and is linked to […]

Your family has been doing their part and staying home as much as possible to prevent and stop the spread of COVID-19. But messages can get confusing about whether you should take your child to their doctor for a pediatric well visit or check-up. Even during a pandemic, it’s important for kids to have their growth, development, and well-being tracked. What You Could Be Missing by Skipping Your Child’s Well Visit Physical Exam: A regular physical exam can help your doctor pick up hard-to-detect issues like high blood pressure, heart murmur, lumps and bumps, ear and hearing issues, and even cavities. Assessment of Growth: During a check-up, your healthcare provider will track height, weight, and BMI. These measurements can tell them if your child has any medical issues that impact growth. Assessment of Development: A development exam looks at parts of your child’s functioning, including things like reasoning and understanding, […]

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 […]