'Pediatric Specialty Care' posts

Fixing Chest Wall Deformities: A Minimally Invasive Option

Pectus excavatum often referred to as either "sunken" or "funnel" chest is the most common congenital chest wall deformity affecting up to one in a thousand children. It results from excessive growth of the cartilage between the ribs and the breast bone (sternum) leading to a sunken (concave) appearance of the chest.

(Image source)

Although present at birth, this usually becomes much more obvious after a child undergoes a growth spurt in their early teens. Pectus excavatum can range from mild to quite severe with the moderate to severe cases involving compression of the heart and lungs. It may not cause any symptoms, however, children with pectus excavatum often report exercise intolerance (shortness of breath or tiring before peers in sports), chest pain, heart problems, and body image difficulties. The last issue deserves some attention as children often are reluctant to discuss how the appearance of their chest affects their self-esteem globally. There is a bias even within the medical community to dismiss the appearance component of pectus excavatum as merely "cosmetic", but I view the surgery to fix this congenital defect as corrective and support the idea that the impact of its appearance should be considered. I have seen patients emotionally transformed in ways that they and their families never expected.

Thanks in great part to the pioneering work of Dr. Donald Nuss (a now retired pediatric surgeon in Virginia), we have a well-proven minimally invasive option to correct pectus excavatum: the Nuss bar procedure. This involves ...

Vomiting in the newborn: when is spit-up something to worry about?

I have never met a baby that didn't on occasion spit-up. Many perfectly healthy babies can even spit-up quite a bit. Reflux is often the label given to babies who vomit, and this rarely amounts to a significant problem.

However, there are a few things that a parent should watch out for:

The most important thing is the color of what a baby is throwing up. Dark yellow and especially green vomit is never normal in a baby and demands immediate medical evaluation as this could represent a dangerous twisting of the intestines (midgut volvulus), which is linked to abnormally positioned intestines (intestinal malrotation).

Another consideration is quantity. If a baby is throwing up...

Swedish's Inpatient Pediatrics Unit Moves to Newer, Larger Space Featuring Many Patient and Family Benefits

SEATTLE, April 10, 2009 – Swedish Medical Center's First Hill Campus now offers a new, state-of-the-art inpatient floor that was designed exclusively for children, as part of the Swedish commitment to provide the family centered care that meets the special needs of pediatric patients.The Pedia...

Swedish Opens Region's First Pediatric and Perinatal Simulation Center on First Hill Campus; Care Teams Can Train Safely on Life-Like Infant, Child Mannequins

SEATTLE, Dec. 2, 2008 – Today, Swedish opened the Gossman Center for Advanced Pediatric and Perinatal Simulation. The only facility of its kind in the Northwest, the $2 million Center was created to continuously sharpen the skills of health-care teams in critical clinical situations – without ...

Swedish Pediatric Specialty Care Endocrinologist Interviewed for Story that Aired Nationally on ABC TV's Medical Mysteries

SEATTLE, Aug. 19, 2008 -- Ellensburg, Wash., is home to a truly unique young man: 12-year-old Brenden Adams, who is more than seven feet tall and, incredibly, still growing.He has a very unusual rearrangement of his genetic material. It's what's called an inversion of chromosome-12 and it affe...

Swedish Pediatric Orthopedic Surgeon Interviewed for KOMO TV Story on Kids and Sports Injuries

SEATTLE, June 5, 2007 -- Swedish Pediatric Specialty Care orthopedic surgeon Mark Dales, M.D., was interviewed for a story on kids and sports injuries that KOMO Television (channel 4; ABC) initially aired the evening of June 4.The story was prompted by an article titled "Overuse Injuries, Over...

Region's First Pediatric and Perinatal Simulation Center Coming to Swedish

SEATTLE, March 15, 2007 – Swedish will soon begin installation of the Pacific Northwest's first pediatric and perinatal simulation center specifically designed to advance the skills of already well-trained health-care teams in critical clinical situations. Once construction is completed in 200...
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