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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.
July 06, 2015
If you overhear a research meeting at the Swedish MS Center
, it may come up that the rehabilitation studies are not sub-listed under, "disease modifying therapy trials." That is when I usually pipe up and say, "Rehabilitation is disease modifying in MS!" In fact, it is one the of proven disease modifiers in progressive MS. Below is a summary of the recent article from the Italian MS group that reviewed improvements in brain plasticity from motor and cognitive rehabilitation in patients with MS. The Italian researchers do an excellent job in quantifying outcome measures from rehabilitation interventions using imaging.
June 29, 2015
As tears well-up in her eyes, I notice her husband's arms reaching over to comfort my patient’s mother. I continue to describe the disease that has been ravaging at their son's intestines, probably for the last several months. Although his parents had suspected something was seriously wrong when their son’s abdominal pain and diarrhea (which had initially seemed like the “stomach flu”) got progressively worse, nothing could’ve them prepared them for what I had just confirmed during his colonoscopy: Crohn’s disease.
June 25, 2015
A recent report has generated excitement in the scientific community. This report announces the discovery of a lymphatic system in the brain.
June 24, 2015
Driving home recently, I heard a story on the radio about a state commissioner wanting to reduce restrictions on “junk food” offered in public schools. Surprisingly, this story jarred a long-forgotten memory from my childhood…
June 22, 2015
On our Pediatric unit, we see a number of patients with Crohn’s Disease or Ulcerative Colitis (UC). Some are well-established in their care, some are newly-diagnosed and just beginning treatment, and some are being seen by the doctor to explore if their symptoms warrant a definitive diagnosis of Crohn’s or UC. I interviewed one patient (referred to as our “Crohn’s Champion” for privacy) regarding his experience for the last 18 months since being diagnosed with Crohn’s Disease at 9 years old.
June 20, 2015
As someone living with multiple sclerosis and a patient of Dr. James Bowen, I wanted to share what I’ve learned about living with a wheelchair.
June 18, 2015
Over the years, the World Health Organization’s discussion around disability has changed from “impairment, disability, and handicap” to “impairment, activity, and participation.” In other words, the focus has shifted to that of function through activity and participation. This shift in perspective is important but not sufficient.