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August 11, 2015
While we often counsel patients that multiple sclerosis (MS) does not often result in death, we have noticed some MS patients with aggressive disease who clearly succumb prematurely. To understand survival in the MS population with a matched cohort from the general population, a population based study is needed to evaluate the association of comorbidity with survival in both populations.
August 10, 2015
Although the use of nitrous oxide (N2O) has been used in dentistry for over 150 years, its use in pediatrics for sedation and mild analgesia for procedures outside of the operating room has been gaining favor over the last several decades. Nitrous oxide’s inherent properties, including the induction of euphoria, amnesia, mild analgesia, quick onset of action and rapid removal from the body through exhalation, make it ideal for use in the pediatric population.
Here’s how we use nitrous oxide to help pediatric patients at Swedish:
August 07, 2015
This is a common question asked during pregnancy but one that it is easy to answer. I often advise to breast feed. There are very few contraindications to breastfeeding such as women that have HIV, herpetic breast lesions, active tuberculosis, or active drug abuse.
Here’s why breastfeeding is better:
August 05, 2015
As a Pediatric Emergency Physician in practice for 18 years, I have seen a great many children with fever. I also see a great many parents and other caregivers who are very concerned about fever, but are reassured when factual information about fever is provided to them.
Fever is a marker of illness and is very concerning in specific circumstances. Fever over 100.4 in any infant less than 60 days of age is reason to seek urgent medical evaluation. However, once children get beyond the newborn period, fever is much less concerning to medical professionals. The following information can help you better understand fever, and help you care for your child without unnecessary worrying. Fever myths lead to fever phobia while in fact, fevers are harmless and often helpful.
Let these facts help you better understand fever:
July 28, 2015
Viral hepatitis is the most common cause of chronic liver disease worldwide. In fact, the two most common forms, hepatitis B (HBV) or hepatitis C (HCV), infect over 500 million people around the world – compared to 31 million with HIV. Chronic HBV is the most common cause of viral hepatitis followed by HCV. These two viruses are responsible for up to 2 million deaths a year. Therefore, it makes sense to call attention to this important global issue and this is why July 28 is World Hepatitis Day.
July 27, 2015
Like everyone else, I like making resolutions from time to time. While some goals have been easier to attain than others, one resolution that has been frustratingly difficult to achieve has been “digital disconnection. Especially in today's hyper-connected world, it is almost impossible to "unplug". While it may be desirable, and even necessary to be proficient at computers and technology, it is equally important that we also learn to be healthy "netizens", and serve as smart examples for our kids. Children, even infants, are being exposed to a barrage of electronic devices. If smart phones, tablets, computers, televisions and video games weren't enough, we now have toy versions of the same! In fact, the iPad has even become the go-to baby sitter for a lot of families. The negative effects of such unrestricted and early exposure are very wide ranging, and only of late has science been able to shed light on some of these.
What can we do to mitigate this epidemic? There is no one-size guidance for all, but here are some suggestions. Like anything else in life, common sense should be our guiding light.
July 20, 2015
Gastrointestinal bleeding (GIB) is blood loss from your gastrointestinal tract from any site from your mouth to your rectum. The level of bleeding can range from mild to severe and life threatening. Small amounts of bleeding over a long period of time can cause iron deficiency anemia with symptoms of fatigue, dizziness, and weakness. GIB is divided into two different types: upper GIB and lower GIB.
Here is what you should know about upper and lower GIB:
July 13, 2015
When a child hurts it is upsetting to everyone. It is natural for the first response to be alarm and fear. New pain in a child needs to be investigated with tests and examinations. There are times a clear reason for the pain is found. Other times, the reason for the pain is not well understood. In both cases, a child that is hurting is important and deserving of care.
One of the hardest elements of pediatric pain is to know how to support the child.
July 09, 2015
Come join the Swedish MS Center for the Summer BBQ on July 25! There will be a catered lunch with live music, as well as a talk by Dr. James Bowen
When: Saturday, July 25
Time: 12:00 – 4:00 p.m.
Where: MS Center at Swedish
1600 E. Jefferson St., A Level
Seattle, WA 98122
RSVP: Janice Huertas, 206.320.2200
July 08, 2015
It’s common knowledge that over the last few decades there has been a significant increase in the number of children with obesity in the U.S. One of the complications of obesity is a condition termed metabolic syndrome, which consists of the combination of high cholesterol, blood sugar, blood pressure, and waist circumference. Having metabolic syndrome has long been a well-known risk factor for heart disease, but less known is the relationship between obesity, metabolic syndrome and liver disease.
As a pediatric specialist who treats children with liver diseases, I am often asked to see children with a condition called “fatty liver disease.” In fatty liver disease, fat accumulates within the liver as a direct result of obesity and metabolic syndrome. The curious thing about this type of liver disease, however, is that it is identical to the liver disease seen in alcoholics.