Young and Healthy - Summer 2012
Young and Healthy is a publication of Cincinnati Children's Hospital Medical Center. It is a guide to your child's good health.
advice from pa r u l b awa , m d � h e at h e r m i t t i g a , m d f r o m s p r i n g d a l e - m a s o n p e d i at r i c s Community Pediatricians Affiliated with Cincinnati Children's young and healthy S U M M E R 2 0 12 Families return to Cincinnati Children's to share their stories. See Page 4. Summer Safety The doctors' orders Story on Page 1 Ask the Pediatrician The skinny on skin Story on Page 2 Jenna and Jake Danneman are just one of Cincinnati Children's stories of hope. Slow down and think about avoiding hidden dangers advice from parul bawa, md � heather mittiga, md from springdale-mason pediatrics Community pediatricians affiliated with Cincinnati Children's Most accidents that land families in the emergency room each summer are preventable, say doctors at Cincinnati Children's and the American Academy of Pediatrics. 1 Fireworkslookfun,butevensparklers canreachtemperaturesexceeding 1000degreesF.Enjoyfireworksby attendingashowrunbyprofessionals. thesize,notevenforaminute.Drownings canoccurinonlyafewinchesofwater. 7 Backyardtrampolinesseemlikea 2 Playgroundsaregreat,butbewareof hiddendangers:Hotslidesmayburn legs,andopenShooksorprotruding boltssuggestpoormaintenance. Don'tforgetabikehelmetforevery memberofthefamily,topreventhead andfaceinjuries.Besurethehelmet fitscorrectlyandhasalabelindicating thatitmeetssafetystandards. greatwaytogetkidsactiveoutdoors, buttheyaresimplytoodangerous. IntheUnitedStateseachyear,there arenearly100,000trampolineinjuries. 3 Bikeridingisawonderfulfamilyactivity. 8 Lawn-moweraccidentsfrequently 4 Vacationsandamusementparksare leadtosummerinjuries.Thesafest betistokeepchildrenoutoftheyard whileyouareoperatingalawnmower. Neverletachildbeapassengeron aride-onmower.Childrenneedtobe atleast12beforetheyareoldenough tooperateamowerthemselves. mainstaysofsummerfun.Reviewwhat yourchildrenshoulddoiftheybecome separatedfromyou.Besureyourkids knowyourcellphonenumber. 9 Lifejacketsarekeyifyourfamily 5 All-terrainvehicles(ATVs)lookfun,but childrenyoungerthan16shouldnot beallowedtodriveorrideonthem. 30percentofallATV-relateddeaths andhospitalvisitsinvolvechildren. planstoboat,canoe,jetskiorsimply playnearlakesandriversthissummer. Makesureyourchildwearsacomfortablelifejacketthatfitssnugly.Encourageyourchildtokeepalifejacketon bywearingoneyourself. askidsgetolder,butmakesurethey areneverriddennearmovingtraffic. Mostaccidentsarebecauseoffalls, soensureyourchildorteenalways rideswithahelmetandprotective geartominimizethechanceofinjury. 10 Scootersandskateboardsarefun 6 Inflatablepoolsareapopularwaytocool offinyourownbackyard.Butbeware: Thesepoolsareespeciallydangerous tokidsyoungerthan5.Neverleave childrenunattendedbyapool,nomatter Ask the Pediatrician Q. What do you recommend in terms of sunscreen for kids? ScienceSnapshots Best friends good for health They offer real benefit in tough times We all know that friendship is priceless. Now, the positive power of your child's BFF can be measured by science. A recent study of 5th and 6th graders, published in Developmental Psychology, reports that the presence of a best friend directly protects a child from the stresses of negative experiences, such as getting in trouble with a teacher or having an argument with a classmate. The study found that children with best friends around had lower cortisol levels in their saliva versus those who faced stressful events alone. In time, high cortisol levels can lead to immune suppression, decreased bone formation and other changes. SarahSelickmanHeidt,MD,acommunity pediatricianaffiliatedwithCincinnatiChildren's, practicesatPediatricAssociatesofMt.Carmel. SheispresidentoftheCincinnatiPediatricSociety. And what's your advice for choosing bug spray? Sunscreen is essential for keeping skin safe from ultraviolet (UV) light, which can cause skin damage. Best diet for obese kids? Experts give edge to `reduced glycemic load' After comparing three common diets for obese children, scientists say children are most likely to stick with the "reduced glycemic load" approach. Unlike portion-control diets, this approach focuses less on calorie counting. It allows certain generous portions of "unrestricted" carbs, such as fruit, vegetables and 100-percent whole grains. This less restrictive way of eating, says Shelley Kirk, PhD, RD, of Cincinnati Children's, may make it easier for families to follow a healthy food plan for the long term. Study results appear in the Journal of Pediatrics. Kirk recommends The Family G.I. Diet, by Rick Gallop, and other books in The G.I. Diet series as good resources for nutritional advice and recipes. A. Protecting young skin has long-lasting effects: Good practices now can prevent skin cancer later in life. Some medications, such as acne medicines, make skin especially sensitive. SPF 15 or higher: Sunscreen should have a sun-protection factor (SPF) of at least 15 and be used for children 6 months of age and older. Look for a "broad spectrum" sunscreen, the kind that protects against both UVA (aging rays) and UVB (burning rays). Sunscreen is most effective when used 15 to 30 minutes prior to sun exposure. Apply it generously, and reapply every 2 hours. Zinc oxide is effective on areas especially sensitive to burns, like the face. Try to stay away from the sun in the middle of the day when rays are most damaging. Protective clothing, such as shirts with built-in sun protection, or hats, can help. Remember sunglasses for eye protection. Since water and sand reflect sunlight, consider surf shirts for the beach or pool. Keep bugs at bay: Insect bites can be more than just itchy. They can spread disease. Avoid areas where insects gather. Wearing long sleeves and pants can help protect you from bug bites. You may want to consider a bug spray. The American Academy of Pediatrics considers bug spray containing DEET the most effective repellent against biting insects and says it is safe for children 2 months of age and older. However, concentrations of no more than 30 percent DEET should be used for children. Use sprays sparingly because of the potential for toxicity. Lightly spray exposed skin and do not reapply. Avoid spraying on the face. Wash spray off your body and clothing after use. Avoid sunscreens containing DEET because reapplication can lead to too much DEET exposure. Alternatives include: Picardin (less toxic but also less effective), Permethrin sprays (only for use on clothing) and essential oils (also less effective). Have fun outdoors this summer and remember that prevention is best when it comes to burns and bites. Learningtomaketherightfoodchoicesismore importantthancountingcalories,expertssay. If you have a question for the pediatrician, email email@example.com NewsBriefs ResearchStudies Research studies help us learn more about medical conditions and come up with better treatments. Ultimately, studies help us find cures for diseases. Learn how you can help by joining a research study. Tell Me a Story GO ONLINEtowww.cincinnatichildrens.org/storytowatchourseriesofpatientstories. Ifyouhaveastorytoshare,firstname.lastname@example.org Autism and social life What: Researchers want to learn more about the social lives of kids with autism spectrum disorders. New research building going up We are adding a 15-story research building to the main campus at Cincinnati Children's. The $180 million expansion, expected by summer 2015, will allow our scientists to continue to make new discoveries, find cures and deliver the best care for kids. Who: Kids ages 10 to 17 who have been diagnosed with autism spectrum disorders, are verbal and have fluent language skills and have a parent available to participate. Pay: Families will receive a $20 gift card for completing surveys during the 60- to 90-minute visit. Details: Contact Carrie Thomas at email@example.com or 513-803-3580. Pediatric Primary Care moving Parents find answers here Chase Tieber was born in 2009 with a brachial plexus injury. His parents were worried. Would he be healthy? Would he ever be able to throw a football? With the right surgery and therapy, the answer is yes on both counts. Teen sleep study What: The study will explore how teenagers are affected by not getting enough sleep. Competitive spirit unbroken Zoe Bruce, a competitive gymnast, was practicing on the high bars two years ago when she fell, breaking and dislocating both elbows. Today, her competitive spirit is unbroken. She says her injury made her stronger. Girls just wanna have fun Nurses at Cincinnati Children's know something that helps LeCarol Batson get through each of her blood draws. LeCarol, who has sickle cell disease, loves to sing her way past the pain. Her caregivers even sing along. The Pediatric Primary Care Center, in Location A on the main campus at Cincinnati Children's, is moving in mid-July. The center will move across the street to the second floor of the 3430 Burnet Ave. building. Sleep study for kids with epilepsy What: Scientists want to know whether giving a dietary supplement to children with epilepsy will improve their sleep and provide better seizure control. Who: Children ages 6 to 11 who have seizures may be eligible to participate. Pay: Families will receive up to $750 for time and travel. Details: Contact Twila Rogers at firstname.lastname@example.org or 513-636-0599. Save the date for the Walk Mark your calendars. The next Cincinnati Walks for Kids event will be Saturday, Oct. 20 at Coney Island. Who: Healthy 14- to 16-year-olds who do not drink a lot of caffeine (no more than two soft drinks or one coffee per day) may be eligible to participate. When: Study visits will take place Aug. 6 to 25. Pay: Families will be paid up to $225 for time and travel. Details: Contact Julie Field at email@example.com or 513-636-5360. Our latest U.S. News rankings Young and Healthy is published by Cincinnati Children's Hospital Medical Center and The Cincinnati Pediatric Society. Produced by the Department of Marketing and Communications, Cincinnati Children's Hospital Medical Center, MLC 9012, 3333 Burnet Avenue, Cincinnati, OH 45229-3026 or call 513-636-4420. Advisers: Chris Peltier, MD, and Zeina Samaan, MD Editorial Consultant: Sarah Selickman, MD Managing Editor: Tanya Bricking Leach | Designer: Kacie Snyder To Subscribe: Sign up at www.cincinnatichildrens.org/subscribe young and healthy Volume 25, Issue 2 �2012 Cincinnati Children's Hospital Medical Center 3810 0612 124000 Go to www.cincinnatichildrens.org to see our latest U.S. News rankings. 2 www.cincinnatichildrens.org/youngandhealthy young and healthy | S U M M E R 2 0 1 2 3 look at me now n's, At Ci nc in na ti Ch ild re We m en d he ar ts . We repa ir br ains . We fig ht infe ctions . w e fix sm ile s. The Oster felds MarynOsterfeldwas diagnosedwithhipdysplasia at9monthsoldandneeded surgery.Justwhenshe shouldhavebeenlearning tocrawlorwalk,shehad tospendmonthsinaspica cast,thenahipbrace.Now 2yearsold,thosedaysarea distantmemory.Shewears abraceonlywhenshe sleeps."Shecancrawl,walk, runandjustlearnedtojump," sayshermom,Mara. ave. We he lp fa milie s be br ro ng . We he lp ki ds gr ow st ch an ce s. We gi ve th em se co nd n th ey sa y, An d w e ce le br at e w he "L o ok at me no w." Severalmonthsago,weaskedfamiliestosendinphotographs fromtheirexperiencesatCincinnatiChildren'ssowecould lookbackattheirmedicaljourneys.Morethan100families sentinsnapshots.Weinvited14familiesbacktotellusabout howfarthey'vecome.Thesearetheirstories. Th e McL an es dfourmonthsearly.She n2poundswhenshearrive LillyMcLaneweighedlesstha welper fora tion .He rfir st atiC hild ren'storep airabo nee dedsur ger yatCin cinn rm ont hsa tCi ncin nati stil ltoobigfor her.Af terfou diap erswer edo ll-si zed and 3yearsold."Thenurses oughtogohome.She'snow Children's,shegrewstrongen uldstaystrongforour rdsofencouragementsoweco andotherstaffalwayshadwo ithsomeofthenurses. hley,whostillstaysintouchw tinygirl,"sayshermother,As The Buffi ngton s JaelynnBuffingtonwasbornin2010withabilateralcomplete cleftlipandpalate.Shehadtobefedwithasyringeforherfirst monthofl ife.Specia listsatCin cinnatiCh ildren'spe rformed surgeriesandfixedhersmile.Hermoth er,Crysta ,saysit's nothingshortof"amazing." The Cur tis Fam ily T h e K ro ge rs ,theywere ee de dskullsurgery outtheirsonZ ackn innatiChildren's arisaKrogerfound SpecialistsatCinc WhenDavidandM everbethesame. rop erl y. derediflifewould m us cle sd evelo pp scare d.Theywon ck 'ssk ullan de ye urg eri es tohe lpZa dhere. es here ceive pe rfo rm ed m ult ipl fine,thankstocare oldanddoingjust day,Zackis8years To HarrisonCurtiswasborn onMarch6,200 8.Aroutine ultrasoundhadwarnedthat hehadaheartcondition.On March9,Harrisonunder went anine-hoursurgerytorepair hishear t.Hespentamonthat CincinnatiChildren'srecovering. Histwoolderbrotherswerenot allowedintheh ospitalroom duringh isrecov ery,so the hospital'sChildLifespecialists arrange dforth emtom eet theirnewbrotherviawebcam. "Today,Harrisonisdoinggreat andisunderthecontinued careofthekindpeopleatthe HeartInstituteatCincinnati Children's,"sayshismom, Allisha. The Stout s PeytonStoutwasborntwomonthsearlywithsuchsevere complicationsthatdoctorstoldhisparentshewouldnotsurvive. AfterthreemonthsofspecializedcareatCincinnatiChildren's, Peytonbeattheodds.Hehasbeendiagnosedwithamildcase ofcerebralpalsy,butheisathriving5-year-old."Hewalkswith assistanceandtalksnon-stop,"sayshismom,Katie."Thank youtoallofthewonderfuldoctors,nursesandtherapistsat CincinnatiChildren's." >>> young and healthy | S U M M E R 2 0 1 2 4 www.cincinnatichildrens.org/youngandhealthy 5 T h e H a a r m e y e rseryinAugust2010toremovea hadbrainsurg ustinsuddenly AustinHaarmeyer iscovere ditafterA vernoma.Doctor sd brainstemca "before"picture 13monthsold.His ofhisrightsideat losttheuse edthebandage whentheyremov edayaf tersurgery, wasfromth oldandlovesto "He'snow3years lle dhis"racinghat. thattheyca ismom,Paula. sveryrisky,"saysh b."Thesurgerywa runandclim sdoinggreat." eportthatAustini "ButIamhappytor WhenHollyDannema nwas pre gnantwithherse co ndsetof twins,aroutineultras oundrevealed complications.Onet win,Jake,had devel op edane ar-fat alc on dit ion . At29weeks,herequired immediate surgerytosavehislife. TwinJenna wa sa lon gf orthe rid e.Ho lly, an em erg en cyme dic ine physi cia n, saysnoamountofme dicaltraining couldhaveprepared herandher hu sb an d,Jim ,fo rth ef am ily's me dicaljourney.Nine yearslater, Jakeisanat hle te. Je nn aisa scholarandadancer. They'rethe mid dlech ildr eninap ackofsix kid s." No tadayg oe sbyt ha tI don'tthinkofhowbles sedweare," theirmothersays. T h e D an n em an s Th e Robe rt s Fa m ily JaneRobertsspenther firstyearinandoutof CincinnatiChildren'sfor hear tsurgeriestocorrecta seriesofcongenitalheart The Clay tors HisparentsthoughtAustinClay torjusthadacoughwhen theytookhimtothedoctorin20 09.Itturnedouttobea staphinfectionthatnearlywipedouthisairwayandlungs. Doctorsplacedhimonanartificiallungmachine.There weremomentswhenhisfamilywonderedifhewouldever recover.Buthepulledthrough.Hehadtorelearnhowto walkandtalk,buttodayheisgettingreadyforjuniorhigh. Heloveshuntingandfishingandisbacktoplayingspor ts again." Wereallydon'tnoticemuchdifferenceinhim," sayshisdad,Otis,"otherthanheissuperstrong." defe cts."Beingtoldshe probablywouldn'tsur vive wasdevastating,"saysher mom,Andrea."Se eingher pullthroughfouropen-heart surgeries,monthsofhospital staysandyearsoftherapy wasama zing."Today,she is9year soldandper fectly healthy.Asathird-grader, shehadthereadingleveland comprehensionofaninthgrader.Thefamily's"before" pictureisofJaneconnected tolotsoftubesandmonitors. Today,herfamilycanhugher muchmoreeasily. T h e Per ez Fam ily The Daisey Family ChaseDaiseywasahealthy 1-year-oldwhenhewas admittedtothehospital afterbattlingafeverfor severaldays.Aninfection thathadstartedinhisthroat turnedintoanabscessand infectedhislymphnodes. Heneededtwosurgeries andatwo-weekstayat thehospital."Iremember wonderinghowweendedup there,"sayshismom,Julie. "Butweknewwewereinthe rightplace.Thehealingthat happensinsidethesewalls ispowerful.Thepeople areamazing.Wewillnever forgetourtimehereand thosewhotouchedourlives." Perez InJanuary20 07,Evan geries hadthelastoffoursur ngany tokeephimfromhavi ultiple moreearinfections.M dhis infe ctionshadimpaire speech hearing,andhehada llowed delay.Thesurgeriesa calchild, himtohearlikeat ypi mthe andhegraduatedfro mt wo spe echtherapyprogra sagreat yearsago.At12,heha andis vocabulary,hearswell team. captainofhisbaseball Cincinnati, "Nothingcomparesin icewe orany where,totheserv ren's," hadatCincinnatiChild day, sayshismom,Laura.To dgladto Evanis11yearsoldan behealthy. Katelyn nPotteb aum'sa rrivaleig htweeksearlywasfraug htwith complic ations. Katelyn n'sunde rdevelo pedlun gsmad eithardforhertoabso rboxyg en,and caregive rsathe rbirthh ospitalsaidthe rewasn othinge lsethey couldd o.But toeveryone'sam azemen t,Kately nnheldon.Nu rsesatCincinn atiChild ren's slowlyweanedh eroffox ygensosheco uldbrea theonh erown, andbe fore long,sh ewasa bletog ohome ."Theexitfromthehos pitalwa sbittersweet," sayshe rmothe r,Chris tina."Wearefo reverin debtedtoevery singlep erson whocameintocontactwithKatelynn.Isworeatthatmomentwe'd neverforget Children'sandw hattheydidforus." The Pott ebau ms The Bircks AnnaBirckwasborninDecember2002withacongenital diaphragmatichernia,alife-threateningbirthdefectthatcauses respiratorydistress.ShehadsurgeryatCincinnatiChildren'sthree daysafterbirth."WebroughtherhomeonChristmasEve,thebest giftwecouldhavewishedforthatChristmas,"sayshermom,Jane. Annaisnowahappy,healthy9 -year-old. Scantowatchour"LookatMeNow"Video. Draw your disease We want to see things from a child's perspective 3333 Burnet Avenue, MLC 9012 Cincinnati, Ohio 45229-3026 Is your child battling a chronic condition or overcoming an illness? We would like your child to describe it in a drawing. Have your child draw how he pictures the disease and send in the artwork with a bit of an explanation about your family's experience. own and think to Young and Healthy, Marketing & Communications, about Send your art ing hidden dangers Hospital Medical Center, 3333 Burnet Ave., Cincinnati Children's Cincinnati, OH 45229. Or email it to firstname.lastname@example.org advice from Boy with headache, byWillLeach,age5 wa , m d � h e at h e r m i t t i g a , m d p r i n g d a l e - m a s o n p e d i at r i c s Please include your child's name, age, school, grade and contact information, along with a brief explanation of your experience. We will post a gallery on our Cincinnati Children's Facebook page. munity Pediatricians Affiliated The deadline with Cincinnati Children's is Aug. 1, 2012. cincinnatichildrensblog.org CincinnatiChildren'sHospitalMedicalCenter @cincychildrens Slow down and think about avoiding hidden dangers youtube.com/cincinnatichildrens