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Archive for the ‘X-rays and Children’ Category

Today I heard a disturbing piece of news regarding children and vaccinations.

Apparently, an infant who was not old enough to receive the pertussis vaccine was exposed to pertussis in a pediatrician’s office. This baby wound up extremely sick and hospitalized due to his exposure to pertussis, a potentially fatal, contagious disease.

This situation poses a dilemma.

Some pediatricians are now refusing patients whose parents are not allowing them to be immunized .

Where is the balance here??? I am not quite sure.

Personally, I would not want my child exposed to these diseases because as a pediatric nurse I have seen how they can ravage a healthy child and in some cases steal their life.

I am also aware of  and empathize with the parental fears that surround childhood vaccinations. These vaccinations have been associated with autism. Even though the evidence that at first supported these fears has been sited as flawed, the fear is still there.

So, how do we work with the parents and children who are not vaccinated against these childhood diseases and at the same time protect infants who are not yet vaccinated?

Is refusing to treat the unvaccinated the ethical way to approach this? I don’t think so.

Perhaps, there is a way to separate those who refuse to be vaccinated by making specific office hours when these children can be seen by the pediatrician…this would be expensive but could be an option.

What do you think as a parent…and how does this problem affect you?

Related links: No shot, no doc: Pediatricians refuse unvaccinated kids – TODAY Health – TODAY.com. https://parentingintheloop.wordpress.com/2011/01/08/more-on-vaccines-and-autism-from-march-of-dimes/   https://parentingintheloop.wordpress.com/2011/01/24/a-century-of-vaccine-scares-nytimes-com/

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Alcohol is not recommended in any amount while pregnant…here is what the March of Dimes has to say:

Alcohol awareness month

Lots of women are aware that heavy drinking during pregnancy can cause birth defects, but many do not realize that moderate or even light drinking also may harm their developing baby. In fact, no level of alcohol use during pregnancy has been proven safe – none.

Many folks think that a glass of wine is good for your heart, which may or may not be true, but it’s not good for a developing baby.  Drinking alcohol during pregnancy can cause a wide range of physical and mental birth defects. The term “fetal alcohol spectrum disorders” (FASDs) is used to describe the many problems associated with exposure to alcohol before birth. Did you know that each year in the United States, up to 40,000 babies are born with FASDs? It’s such a shame because these problems are totally preventable – totally. It’s so simple, just don’t drink if you’re hoping to be or are pregnant.  Isn’t a healthy baby worth waiting a few months for that glass of vino?

We’ve given tips before about partying without the booze and offer different recipes for drinks.  We wanted to remind you of them during Alcohol Awareness Month. Take these suggestions to heart to keep your little one safe.

Tags: alcohol, alcohol awareness month, fetal alcohol spectrum disorder, fetal alcohol syndrome, Pregnancy

via News Moms Need » Blog Archive » Alcohol awareness month.

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NOTEWORTHY WEDNESDAY!

Yesterday there was so much in the news about children and x-rays, in particular CAT scans.

The news ‘teasers’ kept repeating that ‘CAT scans for children may be doing more harm than good”

Scary….right?

Well, I want to post what I found related to this news so that  parents can make the correct decisions for their children without all the fear.

First, here is what the news reported:

“Number Of Children Receiving CT Scans At EDs (Emergency Departments) Increases Fivefold From 1999.

The CBS Evening News (4/5, story 5, 2:35, Smith) reported, “Radiation is used in CT scans everyday and a study out today says more American children are getting them in the ER, especially for stomach problems and head injuries than ever before.” On NBC Nightly News (4/5, story 9, 2:15, Williams) lead study author, Dr. David Larson from Cincinnati Children’s Hospital was shown saying, “What we found was from 1995 to 2008 the number of CT scans that were done in children who visited the ED increased fivefold.”

Yes, this is true and surely some of these scans and x-rays may not have been totally indicated and yes ‘gently imaging’ techniques may not have  been used properly depending on the facility where the scans were performed.

First…lets define safety:

“Definition of Safety: Safety involves the processes and strategies to avoid or minimize unnecessary risk to the patient. “First, do no harm.”

via The Society for Pediatric Radiology: Safety.”

via ACR Daily News Scan.

Safety is of concern whenever children are exposed to radiation through x-rays.

As parents what do you need to know about x-rays and kids?

You need to know this: Radiologist have established protocols when it comes to pediatric x-rays…there is a recommdation referred to as ‘image gently’. This means use the least amount of radiation to accomplish the appropriate scan or x-ray.

You need to also know:

“Fluoroscopic procedures help us save kids’ lives!

But, when we image patients, radiation matters!

Children are more sensitive to radiation.

What we do now lasts their lifetimes

Image kids with care:

Pause and child-size the technique

use the lowest Pulse rate possible.

Consider ultrasound or MRI when possible.”

via image gently.

In addition to the above, parents need to be their child’s advocate when it comes to pediatric medical care.

“Helpful to both care-providers and parents: tracking the number of radiologic studies children are exposed to helps inform treating physicians of recent similar exams, helping them to decide if exams are necessary. Tracking the number of exams and location where the images are stored can be helpful in alerting families and their care providers to the issue of radiation safety.

Similar to an immunization record, use your choice of record size to record where and when a study was performed. This is particularly important when medical care is provided by a variety of physicians/ emergency rooms/ hospitals and can help decrease the number of repetitive exams.

via image gently

When faced with a pediatric medical situation parents need ask questions and get answers that they understand. If you are in a serious emergency with your child ask for the social worker or nurse manager to help you understand more clearly what is happening.

One thing you do not want to do is impede your child’s treatment but what you definitely want is to be an educated consumer of the medical care that is being recommended for your precious child.

I hope this post was helpful…

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