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The Littlest Victims of The Recession – Part I

Times have not been easy. It’s no surprise that many of us will leave this recession with more than a few “battle scars”. But for the littlest ones, the ones who can’t fight their own battles, the economic crisis has begun to take on a much more frightening tone as it threatens their health and in some cases even their lives.

According to CBS Early Show medical correspondent Dr Jennifer Ashton, nationwide 44% of children’s hospitals are reporting increases in ER visits this year. At Rainbow Babies and Children’s Hospital in Cleveland, Ohio – one of the larger children’s hospitals in the country, traffic is up in the ER, even though the population of children in northeast Ohio is down.

Dr Edward Barksdale, chief of pediatric surgery, says the ER is busier than ever because people are waiting to seek care. Too many can’t go to a doctor’s office and end up coming to the ER instead, delaying care until its necessary. Then there are cases such as baby Hailey Sarubbi, born at 23 weeks and weighing little more than a pound who is struggling to survive because her mother went into premature labor after working seven days a week to make ends meet. And 17-year old Teauna Boysaw who didn’t have health coverage when she came into the ER with an infected cyst…her mother, a nursing assistant, couldn’t afford the $550 monthly fee to insure her children.
CBS News Interactive: Children In Danger

Unfortunately, the sad reality is that our little ones are ending up in ER’s across the country. Do we blame the parents who delay treatment until it is absoutely necessary because it is more important to put food on the table? Do we blame a system where one in nine children lacks health insurance coverage? Do we blame the doctors and nurses who keep the child waiting in the ER, sometimes for hours, because every day there are more and more to treat.

Or is there something simpler we should consider here. Perhaps rather than blame, we could look for a way to help …a way to support…a way to cheer on every caregiver who is managing to not only survive these unbelievably awful times, but doing their very best to make life a little better for the child in their care – whether it’s their own or someone elses. Maybe it’s by relying on each other that we find the answers to the problems…for them…and for us. Perhaps its silly to look to a television show for any real meaning, but maybe the castaways on ABC’s Lost were on to something when they said “live together, die alone”. All I know is its up to us to make sure the littlest victims of the recession never become its casualties.

…And Then There’s the Joy

For those of you who watched Grey’s Anatomy last night, there were some sad moments and some gut-wrenching unbelievably awful ones…and then there was one unbelievably beautiful one…the joy of a child who was given another chance at life. One doctor gathered several of her colleagues to witness it. Together they stood outside her room, quietly smiling and taking in the moment. There wasn’t much more that needed to be said – the message was clear. Saving one childs life trumped everything.

Given the project I’ve been working on, it has meant that over the years most of the news stories I’ve captured have been the sad stories of the children involved in ambulance crashes. This blog gives me the opportunity to share all kinds of pediatric patient stories. Today, I am grateful to be able to share something incredibly uplifting…

(by Roni Caryn Rabin: NYT 5/13/09 http://www.nytimes.com/2009/05/14/health/14scorpion.html?_r=1&ref=us )

10 year-old Michael Moerdler-Green was stung by a scorpion during a recent family trip to Phoenix. At the emergency room, doctors offered his parents a choice of treatments: heavy sedation to help calm his symptoms or an experimental scorpion venom made in Mexico, but not yet approved for use in the US by the FDA. His father, Dr Moerdler-Green, chose the antivenom. His son was able to leave the hospital ONE HOUR AFTER RECEIVING THE MEDICATION.

No other antivenom specifically for scorpion stings is available in the US. A study published yesterday in the New England Journal of Medicine documents a small clinical trial of young children stung by bark scorpions – most given the drug recovered from most of their symptoms within 2 hours. Dr Leslie Boyer, director of a venom research institute at the University of Arizona College of Medicine in Tucson said wider use of the antivenom could make treatment much easier in rural areas and small towns in the state that do not have PICU’s and usually have to helicopter children to hospitals for care.

I would like to thank everyone for sharing this with me today. I am grateful to have your company when the news I have is sad or scary and my hope is to raise awareness about some child safety issue. I am thrilled that the only message I have to pass on today is one of hope…and life. Welcome to the joy.

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