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Hearing Loss In One Ear Can Cause Speech Delays

Last updated on September 2nd, 2019 at 07:46 pm

Children with hearing loss in one ear may seem to be hearing normally but may fall behind in speechMost babies are given a basic hearing test when they are born.  Usually kids don’t get another hearing test until they enter kindergarten.  A 2018 article by the Cleveland Clinic shows that hearing loss in one ear can go undetected and often goes untreated. The problem is that “these children are exhibiting speech and language delays and are at risk for education problems, including an increased rate of failing a grade, the need for educational assistance in the classroom, and perceived behavioral issues”.

If your preschooler is behind in speech or diction or seems to only pay attention occasionally you might want to ask for a hearing screening.  Being deaf or hard of hearing qualifies a child for special education.  Although that disability may not mean there are any cognitive impairments the condition may prevent the child from taking in or accessing the information being taught. Children with hearing impairments also benefit from speech therapy and other strategies.

More details on how to recognize unilateral hearing loss (UHL) in children can be found at the American Speech Language Hearing Association (ASHA), where you can also find information on testing as well as tips for helping your child hear and learn better at home and at school.

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Editor’s Note:  Links have been checked for accuracy and updated as needed

Food Allergies, a New Sibling and Hidden Blessings

Last updated on September 2nd, 2019 at 07:46 pm

Older-brother-holding-baby-sisterI remember the fear that ran through me during my second pregnancy. My first born has food allergies and at times, I really feel as if I am just unable to take another thing on. So being pregnant, I began to wonder how I would handle it if my second child also had food allergies. I would picture scenario after scenario of having to run from one to the other in just enough time to save them both. Was this my destiny, to see what else life would bring me?

But then, my daughter was born and my heart opened up even wider. Somehow, being a mother of two children became easier very quickly. Somehow, the moments that I need to split my attention are warped by time and space and I am able to just do it, with both children happy. It’s almost as if you are handed super powers when you give birth. How else anyone explain being able to take care of so much with even less time?

Then came time to try foods with my daughter- I was terrified all over again. I waited longer to give her foods that I gave to my son to make sure her fragile system could handle them better. Instead of getting the new food ready first, I armed myself with an EpiPen and antihistamine in case I needed to use them in a hurry. I made sure the telephone was close by and that my son’s diaper bag was packed up near the front door in case we had to go the emergency room. But then I realized- I wasn’t doing this out of fear, I was doing this out of knowledge and protection. I was doing this because I was a better parent than I thought I would be. And it was because my first born had food allergies…not in spite of it.

Having a food-allergic first child meant that when my second child was born, I honestly felt I was already scores past where I had been the first time around when it came to knowing what I needed to watch for. Whoever said “It was a blessing in disguise” was absolutely correct.

I tell people, always, that having food allergies is a positive thing and that there’s a reason for it, it should not be seen as a curse. The world works in mysterious ways. Little did I know that I would be taking my own advice.

But I also realized that it was not only a blessing for me – it was a blessing for my second child as well. My daughter is a better sister without even trying. As she grows up, she has the added wisdom of knowing what food allergies are all about and how to keep her friends safe if they have them. She knows why hand-washing is so important without making a fuss and that sharing foods is not even an option (which is good anyway because watching children share a half-eaten , soggy cookie grosses me out). And someday, when a mother at her school doesn’t know that a child is having an allergic reaction or what an EpiPen is, she will be able to tell them. How awesome is that? My daughter will have more knowledge about label-reading and cross-contamination than most adults and I am thankful for that.

Life truly does give you what you are able to handle. I’m not saying that it will always be easy but you will learn things about yourself that you would have never known if certain events had not happened to you. Embrace everything, both good and not so good. Someday, even you will be amazed at how your blessings have shown up in your life as well as whatever life has brought to you.

Worried About Letting Your Kids Get Dental X-rays?

Last updated on September 2nd, 2019 at 07:46 pm

Let us help calm your fears! We are concerned about radiation too, so we want you to have the facts you need to make an educated decision when it comes to your children.

We want you to know the truth about dental x-rays. Just to break it down for you, below is chart of the radiation doses you receive from different x-rays.

An annual maximum occupational exposure for radiation workers in the United States is 5,000 millirems (measure for radiation). When you spread low doses out over a period of time, it’s not as destructive to the body because it has time to recover.

High dose group includes:

  • Mammography 1000
  • Pelvimetry 875
  • Lower spine 450
  • Middle spine 347

Medium dose group includes:

  • Abdomen 147
  • Ribs 143
  • Pelvis 133
  • Skull 78
  • Hip 72

Low dose group includes:

  • Neck 52
  • Femur 21
  • Full mouth dental series (digital) less than 1
  • Dental bitewing (digital) less than .05

To put this in perspective, you would need to have 2,000 dental x-rays to equal the radiation in 1 mammogram. To reach that maximum safety dose, we would have to take approximately 10,000 dental x-rays.

On average people receive 3 dental bitewings worth of radiation a day just from being outside in the sun, around concrete buildings or roads. There are some studies produces by radiologist saying that low doses may actually reduce cancer risks. Knowing how low the dose is, let’s talk about the benefits.

Here are just a few benefits of dental x-rays:

  • Detecting hidden decay
  • Detecting the presence of a cyst or tumor
  • Determining the presence of permanent teeth
  • Detecting oral cancer problems
  • Detecting root involvement with the sinuses
  • To help determine whether or not to remove primary teeth
  • To determine if extra teeth are present

The list goes on and on. I hope you feel safe and secure when your child gets his or her next set of dental x-rays!

Childhood Asthma: Part II

Last updated on September 2nd, 2019 at 07:46 pm

In Childhood Asthma: Part I,  I presented ways in which Asthma can present and exactly what was the nature of the disease. Today we will deal with the diagnosis and various means of treating asthma.

Asthma may present in early infancy but is very difficult to diagnose for the reasons mentioned in part one. Also the signs and symptoms of asthma in the very young child can be caused by many other issues. So it is when the symptoms are very severe or they continue beyond two to four years of age that one begins to suspect asthma.

Let’s assume for the purpose of this article that all asthma_pt2the other causes have been ruled out and that it appears that your child indeed has asthma. The first thing to realize is that the symptoms may vary from very severe to extremely mild requiring daily close control or only occasional use of medications and treatments to keep your child comfortable and active. The goal in treatment is twofold: first to allow your child to remain active, socially oriented, and happy. The second is to prevent the permanent secondary changes in the lungs from longstanding uncontrolled asthma.

Early in the course of treatment, a child who presented to the emergency room or physician’s office with symptoms of acute asthma usually needed to be admitted to the hospital for a few days in order to get the symptoms controlled. As time went on, newer systems such as nebulizer treatments that could be performed at home were implemented and admissions to hospitals dramatically diminished. Today it is not uncommon at all to see a nebulizer machine in the home of a child with asthma. The other issues that were improved upon were the level of education of a family in which there is a child with asthma, and the greatly improved medications available to treat asthmatic symptoms with fewer side effects and greater efficiency.

As more becomes known about asthma, through research and observation, the efficiency of treatments increases dramatically. Since we know from the previous article that the underlying problems causing symptoms of asthma are related to constriction of the small airways, mucus production and inflammation, there was a body of research that tried to find out which of these causes were more important, and which specific medications could be used for each symptom. At one point or another each of them were implicated but recently the inflammatory process seems to be very important. Also inhaled medications seemed to give the best results without some of the bothersome side effects, both long term and short term.

With the development of better mobile delivery systems for these medications and the increase in knowledge that families now have about the disease, the disease can now be managed very efficiently at home. Fewer and fewer hospitalizations have been the result with a greatly decreased cost of delivering medical care to these children.

Your Doctor is very familiar with the armamentarium of medications available to use for children with various degrees of the disease. The two main issues with the treatment of asthma is the immediate treatment of the acute problem, breathing difficulty, and then the long term control of the recurrence of those symptoms. There are many medications, or combinations of medications, available to gain and maintain control over the symptoms of asthma and your child should be able to live a perfectly normal life style.

You as parents will shortly become, with the help of your Doctor, the “expert” when it comes to asthma in your child.

Are Your Children At Risk for Dehydration This Summer?

Last updated on September 2nd, 2019 at 07:46 pm

Welcome to summer, the kids are out of school, summer camps are in full swing, family trips all over the country have begun and just in case you haven’t noticed, it’s hot outside. It is turning out to be one of the hottest summers on record with temperatures reaching triple digits in many parts of the country. As it heats up, summer safety becomes a serious issue. With all this fun and traveling going on please don’t forget to ask yourself one very important question, “are my children hydrated well enough to handle this heat?” the answer is most likely no.

Thousands of children each year are admitted to hospitals with heat-related illnesses and most go home, but there are the cases every year where children end up overheating and dying because they were not hydrated properly. As I write this, it’s a beautiful 94 degree Saturday here in Miami with all the humidity you can handle and that means one thing for us here at the fire department. A huge increase in the amount of heat illness related calls we are going to run and most of them will be on children.

As parents when we think of dehydration, we think of our children being sick and having a bout of diarrhea and or vomiting, and the doctor tells us to keep them hydrated with plenty of fluids. That is all well and good and as good parents we make sure our little campers get plenty of fluids and are back healthy A.S.A.P., But the kind of dehydration I am talking about is the kind we as parents tend to overlook in the rush of our day to day lives and that is the everyday dehydration of our very active children. By the time a child says he is thirsty, he is already dehydrated, and with studies finding that 50% of children participating in sports activities were already dehydrated we need to be hydrating our children before, during, and after physical activity as well as keeping an eye out for the signs of heat-related illnesses.

Recommendations for hydrating children ages 6 to 12 include:

  • 4-8 ounces 1 to 2 hours before activity
  • 5-9 ounces every 20 minutes of activity
  • After activity, replace lost fluids within 2 hours

Recommendations for hydrating young athletes ages 13 to 18 include:

  • 8-16 ounces 1 to 2 hours before activity
  • 8-12 ounces 10-15 minutes before activity
  • 5-10 ounces every 20 minutes of activity

Being able to recognize the signs of heat-related illnesses is critical and should be done by us the parents as well as the coaches. A basic awareness of the signs of heat-related illnesses could make all the difference, so here are some key points to be on the lookout for as recommended by Susan Yeargin, PhD, ATC.

Types of heat illnesses

Athletes who exercise in hot or humid weather are particularly at risk of heat illnesses:

  • Heat cramps
  • Heat exhaustion
  • Heatstroke

Symptoms of impending heat illness

In addition to educating young athletes about both the importance of hydration and the dangers of heat-related illness, ensuring that they are drinking enough fluids, and taking precautions to reduce the risk of heat injury in children in hot and humid weather, you need to watch your child for symptoms of impending heat illness:

  • Weakness
  • Chills
  • Goose pimples on the chest and upper arms
  • Nausea
  • Headache
  • Faintness
  • Disorientation
  • Muscle cramping
  • Reduced or cessation of sweating

A child continuing to exercise when experiencing any of these symptoms could suffer a heat illness.

Heat cramps

Symptoms:

  • Thirst
  • Chills
  • Clammy skin
  • Throbbing heart
  • Muscle pain
  • Spasms
  • Nausea

Treatment:

  • Move child to shade
  • Remove excess clothing
  • Have child drink 4 to 8 ounces of fluid with electrolytes (sports drinks) every 10 to 15 minutes

Heat Exhaustion

Symptoms:

  • Nausea
  • Extreme fatigue
  • Reduced sweating
  • Headache
  • Shortness of breath
  • Weak, rapid pulse
  • Dry mouth
  • Rectal temperature less than 104?F.

Treatment:

  • Move child to cool place
  • Have child drink 16 ounces of fluid containing electrolytes for every pound of weight lost
  • Remove sweaty clothes
  • Place ice behind child’s head
  • Seek medical attention, if no improvement

Heat Stroke

Symptoms:

  • No sweating
  • Dry, hot skin
  • Swollen tongue
  • Visual disturbances
  • Rapid pulse
  • Unsteady gait
  • Fainting
  • Low blood pressure
  • Vomiting
  • Headache
  • Loss of consciousness
  • Shock
  • Excessively high rectal temperature (over 105.8F.)

Treatment:

  • Call 911
  • Remove sweaty clothes
  • Immediate and continual dousing with water (either from a hose or multiple water containers) combined with fanning and continually rotating cold, wet towels on head and neck until immersive cooling can occur.

As parents we tell our kids to study and do their homework so they will be prepared, well we as parents need to do our homework as well when it comes to recognizing the signs of heat-related illnesses and staying on top of hydration. Luckily for those parents who live and breathe on their iPhone there is help. iHydrate is an app that reminds you to hydrate yourself and your children before, during and after activities. App or no app, stay alert, keep those children hydrated and please remember, when in doubt call 911.

Who is The REAL Lifeguard at Your Kid’s Pool This Summer??

Last updated on September 2nd, 2019 at 07:47 pm

Who is the real lifeguardI was doing the usual mom chit-chat at Scouts while my son worked towards his water safety badge and fielded the inevitable question from the Scout leader, ‘what do you do?’. My answer, “I’m a global activist working to end child drowning. One child drowns every minute.” And then came the typical response, “Wow, I didn’t know it was such an issue, but it is certainly needed, the lifeguards need to do a much better job.” She then related a story about how she and her husband were at a pool with their baby and 3-year old son. She was sitting at the side holding the baby, her husband was in another area, and the 3-year old suddenly went past his depth and was bobbing up and down under the water, drowning. She screamed for the lifeguard, her husband screamed for the lifeguard but also managed to get to their son before any serious injury occurred. She related the story in harrowing detail and emphasized several times how the lifeguard had clearly not been doing his job well since her son had almost drowned in a crowded pool, so she understood why drowning is such a problem.

What is your initial reaction? Quite possibly the same as hers, the fault was with the lifeguard, if he had been paying attention her son never would have almost drowned. It’s an incredibly common belief, but the reality is quite different. These are excellent, diligent and concerned parents, and they believe, just as most people believe, that if you go to a pool or beach with a lifeguard on duty, you and your children will be safe. Yes, that’s true, if you swim in an area with a lifeguard, your chance of drowning is reduced to 1 in 18 million. That’s very good odds, even better when you consider that 75% of open water drownings occur when a lifeguard is not present. There is no two ways about it, if you swim in an area with a lifeguard, you are much safer, but it’s not just the lifeguard’s job to keep you safe. I do place the blame for that misconception squarely on the shoulders of those of us in the drowning prevention field, we haven’t explained what the true role of a lifeguard is, so let me start now to change how we view lifeguards.

When it comes to water and children, especially young children or non-swimmers, you, the parent, are the first lifeguard on duty. You need to be touch distance from your young or non-swimmer, meaning you can reach out and grab them at any time. Why?

  • First, a child can drown in 2 minutes in 2 inches of water. Even the best lifeguard, diligently scanning a crowded pool can miss seeing a small child under water, especially if the sun is glinting off the water or there are many people in the pool obscuring visibility under the surface. Plus, most people don’t even recognize someone is drowning since it’s not like in the movies, there is no flailing of arms or screaming. Click here to see what it really looks like – and don’t worry, the boy is rescued.
  • Second, you don’t want your child to be in a situation where they need to be rescued. You know how hard it can be to spot a small child in a crowded place. Even the fastest lifeguard will take precious seconds to spot the danger and make their way to the victim, and that can be a really frightening few seconds for a child.

Lifeguards are like police and firemen, their job is to prevent accidents by watching for dangerous behavior and educating the public, and to perform rescues when things do go wrong, but it’s not their job to babysit or watch just one child, much less the 100 children in the water on a busy summer afternoon. Think about it, you don’t let your 3-year old walk 3 blocks to preschool just because your town has police whose job is to keep people safe, do you? The good news is that having a lifeguard on duty is like having a firefighter stand in your front yard just in case a fire breaks out. 95% of a lifeguard’s job is preventing an accident in the first place and only 5% is actually rescuing someone in distress. With you on guard, hopefully it won’t ever be your child in distress.

Now that you’re thinking, ‘great, so much for relaxing at the pool this summer’, I have some very good news. Taking a baby or young child to the pool is better than having a personal trainer and Weight Watchers combined if you take advantage of the time in the pool with them. Trust me, I worked off two pregnancies swirling my children around in the water. Next month I hope you’ll check back for my tried-and-true ‘fun for kids, great easy workout for mom’ plan!