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	<title>Paging Dr. Gupta &#187; Parenting</title>
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		<title>Paging Dr. Gupta &#187; Parenting</title>
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		<title>Mr. Squiggles is giving me a holiday toy headache</title>
		<link>http://pagingdrgupta.blogs.cnn.com/2009/12/11/mr-squiggles-is-giving-me-a-holiday-toy-headache/</link>
		<comments>http://pagingdrgupta.blogs.cnn.com/2009/12/11/mr-squiggles-is-giving-me-a-holiday-toy-headache/#comments</comments>
		<pubDate>Fri, 11 Dec 2009 16:28:29 +0000</pubDate>
		<dc:creator>annjcurley</dc:creator>
				<category><![CDATA[Children's Health]]></category>
		<category><![CDATA[Health]]></category>
		<category><![CDATA[Parenting]]></category>
		<category><![CDATA[Theresa Tamkins - Executive Editor Health.com]]></category>

		<guid isPermaLink="false">http://pagingdrgupta.blogs.cnn.com/?p=1832</guid>
		<description><![CDATA[By Theresa Tamkins
Executive Editor, Health.com
Oh, Mr. Squiggles. You’ve broken more women’s hearts this year than Tiger Woods. Never heard of Mr. Squiggles? Either you’re lucky or, more likely, you don’t have anyone under 12 in your social circle. For the uninitiated, Mr. Squiggles is the hot toy of 2009.
Mr. Squiggles is a little robotic hamster [...]<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=pagingdrgupta.blogs.cnn.com&blog=3020773&post=1832&subd=cnnpagingdrgupta&ref=&feed=1" />]]></description>
			<content:encoded><![CDATA[<div class='snap_preview'><br /><p><i>By Theresa Tamkins<br />
Executive Editor, <a href="http://health.com">Health.com</a></i></p>
<p>Oh, Mr. Squiggles. You’ve broken more women’s hearts this year than Tiger Woods. Never heard of Mr. Squiggles? Either you’re lucky or, more likely, you don’t have anyone under 12 in your social circle. For the uninitiated, Mr. Squiggles is the hot toy of 2009.</p>
<p>Mr. Squiggles is a little robotic hamster that scurries around, rides a skateboard, rolls around in a hamster ball, and is just as cute as the real version—without the offending smell, cage cleaning, and tendency to bite small fingers.</p>
<p>At a cost of $8 to $10 each, what’s not to love? Mr. Squiggles, you had us &#8211; me and my 8-year-old who started crying for you back in August &#8211; at the hamster version of hello. And here’s where the heartbreak starts.</p>
<p>You can’t find Mr. Squiggles (he’s the brown one) anywhere. And don&#039;t bother looking for his pals Num Nums (gray), PipSqueak (yellow), or the white one (I can never remember its name) either.  These little fellows, collectively known as Zhu Zhu Pets have been sold out at Target, Walmart.com, and Toys&#034;R&#034;Us for ages.</p>
<p>Mr. Squiggles’s stardom means he’s traveling in more rarified circles now. For example, you can find him at amazon.com &#8211; at times for $70 or more. Or check out eBay, where a bunch of boobs &#8211; like me &#8211; are furiously bidding on hundreds of the robotic rodents.</p>
<p>That’s right. Me, who scoffed at desperate parents in the past and has been known to lovingly croon to her children, “You can’t always get what you want…” snuck onto eBay late at night &#8211; night after night &#8211; to watch the bidding madness.</p>
<p>And finally I pounced &#8211; and scored! &#8211; a Mr. Squiggles. And it was only about two to three times the original cost.</p>
<p>But the heartbreak just keeps coming. A mere 12 hours later, I discovered Mr. Squiggles might be a toxic toy, potentially contaminated with antimony, according to a report from consumer group Good Guide. Oh, how you crush me, Mr. Squiggles!</p>
<p>Part of me felt like the toy would have to be made out of salmonella-coated plutonium to deter me from my desperate quest. (Did I mention that it included having a second cousin who lives three states away scout out her local stores &#8211; unsuccessfully? Thanks for trying, Michele!).</p>
<p>But I thought I’d better dig deeper. Is Mr. Squiggles bad for us? Really? (Meaning our physical, as opposed to mental, health.) In a hastily posted note on Monday (which originally misspelled “hamster,” but was later corrected), Good Guide clarified that it tests toys using a technology called XRF technology, which is different from that used by government regulators.</p>
<p>The Zhu Zhu Pets manufacturer, St. Louis-based Cepia LLC, issued a statement saying “Test results show Mr. Squiggles, as well as all other Zhu Zhu Pets products, are well within U.S. government standards and these results have been certified by the world’s leading independent testing organizations.”</p>
<p>And the Toy Industry Association, which represents toy makers, also issued a statement saying XRF “has not been determined to be a reliable test method overall,” by the U.S. Consumer Product Safety Commission.</p>
<p>“Parents can be assured that things that are on the store shelves do comply with our very strict federal standards,” says TIA’s Adrienne Citrin.</p>
<p>Good Guide eventually issued a <a href="http://www.marketwire.com/press-release/Goodguide-1086821.html">correction</a>, saying that Mr. Squiggles was safe after all. Apparently it was all just a horrible mistake.</p>
<p>That’s nice. But between greedy jerks buying up every available toy just to charge parents exorbitant prices online (yes, it’s capitalism, but I don’t have to like it), and mixed up toy testers, I just don’t feel the same about you, Mr. Squiggles.</p>
<p>A bit of a holiday mood killer. What do you think?</p>
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			<media:title type="html">annjcurley</media:title>
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		<title>Nasal vaccine for 14-month-old?</title>
		<link>http://pagingdrgupta.blogs.cnn.com/2009/11/19/nasal-vaccine-for-14-month-old-2/</link>
		<comments>http://pagingdrgupta.blogs.cnn.com/2009/11/19/nasal-vaccine-for-14-month-old-2/#comments</comments>
		<pubDate>Thu, 19 Nov 2009 16:33:28 +0000</pubDate>
		<dc:creator>mattsloane</dc:creator>
				<category><![CDATA[Dr. Gupta]]></category>
		<category><![CDATA[Expert Q&A]]></category>
		<category><![CDATA[H1N1 Flu]]></category>
		<category><![CDATA[H1N1 Flu Vaccine]]></category>
		<category><![CDATA[Parenting]]></category>
		<category><![CDATA[Dr. Sanjay Gupta - CNN Chief Medical Correspondent]]></category>

		<guid isPermaLink="false">http://pagingdrgupta.blogs.cnn.com/?p=1780</guid>
		<description><![CDATA[As a feature of CNNhealth.com, our team of expert doctors will answer readers&#039; questions. Here&#039;s a question for Dr. Gupta.
From Elaine in New Jersey:
I attended a clinic this weekend for the H1N1 shots, and they administered the nasal spray to my 14-month-old! According to the CDC website it should NOT be administered to children under [...]<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=pagingdrgupta.blogs.cnn.com&blog=3020773&post=1780&subd=cnnpagingdrgupta&ref=&feed=1" />]]></description>
			<content:encoded><![CDATA[<div class='snap_preview'><br /><p><em>As a feature of CNNhealth.com, our team of expert doctors will answer readers&#039; questions. Here&#039;s a question for Dr. Gupta.</em></p>
<p><strong>From Elaine in New Jersey:</strong></p>
<p>I attended a clinic this weekend for the H1N1 shots, and they administered the nasal spray to my 14-month-old! According to the CDC website it should NOT be administered to children under 2 years of age! I contacted the pharmacy where the clinic was held, and they took my contact info and said we will get back to me. Can you tell me is my child at risk?? I also have a call into my pediatrician. I also contact the CDC and was told they are not medical professionals.</p>
<p><strong>Answer:</strong></p>
<p>Elaine, it is easy to sense dismay and concern from your e-mail, and as a father I can certainly relate.</p>
<p>The reality is – yes – the nasal spray version of the H1N1 vaccine, which contains a weakened live flu virus, should be given only to people ages 2 to 49. We also know that children with conditions such as asthma may not be eligible for the live flu vaccine.</p>
<p>In order to ease your mind a bit, unless he or she has asthma, chances are very good that your 14-month-old will be fine.</p>
<p>The primary reason children younger than 2 do not get the nasal spray H1N1 vaccine is that it has not been tested in, and therefore is not licensed for, that age group. It is that simple. You need solid data to submit to the Food and Drug Administration before a medication can be approved for use in a particular population – that data do not exist for children younger than 24 months.</p>
<p>To ease your mind a bit more, rare complaints among adults and children taking the nasal spray form of the H1N1 vaccine are runny nose, sore throat, and sometimes fever. These symptoms usually go away within a couple of days. If they do crop up for your 14-month-old, you should not be too concerned, but if the symptoms get worse or your instinct tells you to, do see your pediatrician.</p>
<p>On the bright side of your predicament, your son or daughter is now vaccinated against H1N1. There are many parents who are still waiting to have their children vaccinated, so count yourself among the fortunate. Your child should soon have a second H1N1 vaccine dose – this time with the injectable form of the vaccine. And if you have not yet been vaccinated, you should do so – as the caregiver for your baby, you are eligible for these early doses of vaccine.</p>
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			<media:title type="html">mattsloane</media:title>
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		<title>Ramping up global efforts to defeat childhood pneumonia</title>
		<link>http://pagingdrgupta.blogs.cnn.com/2009/11/03/ramping-up-global-efforts-to-defeat-childhood-pneumonia/</link>
		<comments>http://pagingdrgupta.blogs.cnn.com/2009/11/03/ramping-up-global-efforts-to-defeat-childhood-pneumonia/#comments</comments>
		<pubDate>Tue, 03 Nov 2009 17:49:45 +0000</pubDate>
		<dc:creator>annjcurley</dc:creator>
				<category><![CDATA[Children's Health]]></category>
		<category><![CDATA[Global Health]]></category>
		<category><![CDATA[Parenting]]></category>
		<category><![CDATA[caregiving]]></category>
		<category><![CDATA[Andrea Kane - CNNhealth.com Producer]]></category>

		<guid isPermaLink="false">http://pagingdrgupta.blogs.cnn.com/?p=1716</guid>
		<description><![CDATA[By Andrea Kane
CNNhealth.com Producer
Last winter, I was told that my young daughter had walking pneumonia. Walking pneumonia? My mind, fueled by alarm, raced: What is walking pneumonia? (A very mild inflammation of the lungs.) Is it serious? (While it can become serious, it is not usually a problem and often heals on its own.) Is [...]<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=pagingdrgupta.blogs.cnn.com&blog=3020773&post=1716&subd=cnnpagingdrgupta&ref=&feed=1" />]]></description>
			<content:encoded><![CDATA[<div class='snap_preview'><br /><p><i>By Andrea Kane<br />
CNNhealth.com Producer</i></p>
<p>Last winter, I was told that my young daughter had walking pneumonia. Walking pneumonia? My mind, fueled by alarm, raced: What is walking pneumonia? (A very mild inflammation of the lungs.) Is it serious? (While it can become serious, it is not usually a problem and often heals on its own.) Is she going to be alright? (Of course.) She had very mild symptoms – a cough, a fever – and she wasn’t all that uncomfortable. Her pediatrician said some people let the walking pneumonia resolve itself (that’s how mild it is!), but that I might want to opt for a course of antibiotics. Not wanting to risk complications, and wanting to ease her symptoms sooner rather than later, I quickly agreed (antibiotic-opposed husband be darned). Thanks to access to medical care, my daughter was well within a couple of days; she and I quickly put the episode behind us.</p>
<p>The story ends differently for the more than 2 million children who die of pneumonia – walking pneumonia’s much more deadly cousin - every year. <a href="http://www.savethechildren.org">Save the Children</a>, an international humanitarian organization, reports that pneumonia (which can be cause by bacteria, viruses, fungi or parasites) kills more children under 5 worldwide than measles, malaria and AIDS combined. Pneumonia accounts for 20 percent of all deaths in this - the youngest and most vulnerable – age group. That’s one child dead from pneumonia every 15 seconds. The vast majority of deaths – 98 percent – occur in South Asia and sub-Sahara Africa.</p>
<p>A great many of these deaths could be prevented with existing inexpensive vaccines or treated with inexpensive antibiotics. But the families of children in the 68 countries most affected by pneumonia either don’t know about available vaccines and antibiotics, don’t have access to them or can’t afford them. And that’s a tragedy.</p>
<p>But the flip side of tragedy is hope. Global health authorities, including WHO and UNICEF, are recognizing November 2 as the first-annual <a href="http://worldpneumoniaday.org/">World Pneumonia Day</a> and have outlined a six-year action plan to take the first steps in beating back this beast. The GAPP plan, as it is called, includes education, protection, prevention and treatment efforts, <a href="http://www.cnn.com/video/#/video/health/2009/11/01/vassileva.world.pnumonia.day.cnn">targeting both governments and individuals</a>.</p>
<p>Dr. Bill Frist (the former U.S. Senate Majority Leader and a trustee of Save the Children) and Dr. Richard Sezibera (Rwanda’s Minister of Health) write in this week’s edition of The Lancet, “… lives continue to be lost from this preventable and treatable disease, and, until recently, there was little outcry.”</p>
<p>I for one am glad there is new attention being brought to bear on an old adversary. No parent should have to mourn the death of a child from a preventable and treatable illness.</p>
<p><i><strong>Editor&#039;s Note:</strong> Medical news is a popular but sensitive subject rooted in science. We receive many comments on this blog each day; not all are posted. Our hope is that much will be learned from the sharing of useful information and personal experiences based on the medical and health topics of the blog. We encourage you to focus your comments on those medical and health topics and we appreciate your input. Thank you for your participation.</i></p>
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			<media:title type="html">annjcurley</media:title>
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		<title>Will breastfeeding protect my baby from H1N1?</title>
		<link>http://pagingdrgupta.blogs.cnn.com/2009/10/29/will-breastfeeding-protect-my-baby-from-h1n1/</link>
		<comments>http://pagingdrgupta.blogs.cnn.com/2009/10/29/will-breastfeeding-protect-my-baby-from-h1n1/#comments</comments>
		<pubDate>Thu, 29 Oct 2009 18:51:47 +0000</pubDate>
		<dc:creator>annjcurley</dc:creator>
				<category><![CDATA[Children's Health]]></category>
		<category><![CDATA[Dr. Gupta]]></category>
		<category><![CDATA[Expert Q&A]]></category>
		<category><![CDATA[Flu]]></category>
		<category><![CDATA[H1N1 Flu]]></category>
		<category><![CDATA[H1N1 Flu Vaccine]]></category>
		<category><![CDATA[Health]]></category>
		<category><![CDATA[Parenting]]></category>
		<category><![CDATA[Vaccinations]]></category>
		<category><![CDATA[caregiving]]></category>

		<guid isPermaLink="false">http://pagingdrgupta.blogs.cnn.com/?p=1692</guid>
		<description><![CDATA[As a  feature of CNNhealth.com, our team of expert doctors will answer readers&#039; questions. Here&#039;s a question for Dr. Gupta.
From Shannon:
&#034;I have a 4-month-old infant and I recently had myself and my 6-year-old son vaccinated for H1N1. My question is, will my infant also gain my immunity to H1N1 through my breast milk? I hope [...]<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=pagingdrgupta.blogs.cnn.com&blog=3020773&post=1692&subd=cnnpagingdrgupta&ref=&feed=1" />]]></description>
			<content:encoded><![CDATA[<div class='snap_preview'><br /><p><i>As a  feature of CNNhealth.com, our team of expert doctors will answer readers&#039; questions. Here&#039;s a question for Dr. Gupta.</i></p>
<p><strong>From Shannon:</strong></p>
<p>&#034;I have a 4-month-old infant and I recently had myself and my 6-year-old son vaccinated for H1N1. My question is, will my infant also gain my immunity to H1N1 through my breast milk? I hope so.&#034; </p>
<p><strong>Answer:</strong></p>
<p>This is a great question and a huge concern for many parents whose children are less than 6 months old and therefore too young to get the H1N1 vaccine. Unfortunately, there is no clear answer to your question, Shannon, so the best we can do is spell out what we do know.</p>
<p>We know that any time you breastfeed your 4-month-old, you pass on potent antibodies (proteins that your immune system produces to fend off disease in the body) that protect him or her against a whole range of infections.</p>
<p>We also know a bit about other vaccines and breast milk, for example, the pneumococcal vaccine that protects against things like pneumonia and meningitis. According to the National Institute of Allergy and Infectious Diseases, mothers who received that vaccine produced antibodies that were detectable in their breast milk, and passed them on to their babies. What is not as clear is whether those antibodies actually conferred immunity to their newborns.</p>
<p>The Centers for Disease Control and Prevention guidance about breast milk and the flu vaccine is a tinge more hopeful, albeit far from conclusive: &#034;By breastfeeding, mothers can pass on to the infant the antibodies that their bodies make in response to the flu shots, which can reduce the infant&#039;s chances of getting sick with the flu.&#034;</p>
<p>While experts wrestle with this question, you have already taken a positive step – and significantly reduced your baby’s chances of getting the H1N1 virus – by getting yourself vaccinated. The next step is to create a &#034;cocoon of protection&#034; around your baby by making sure that other caregivers in the family also get vaccinated.</p>
<p><i><strong>Editor&#039;s Note:</strong> Medical news is a popular but sensitive subject rooted in science. We receive many comments on this blog each day; not all are posted. Our hope is that much will be learned from the sharing of useful information and personal experiences based on the medical and health topics of the blog. We encourage you to focus your comments on those medical and health topics and we appreciate your input. Thank you for your participation.</i></p>
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		<title>It’s not always H1N1</title>
		<link>http://pagingdrgupta.blogs.cnn.com/2009/10/28/its-not-always-h1n1/</link>
		<comments>http://pagingdrgupta.blogs.cnn.com/2009/10/28/its-not-always-h1n1/#comments</comments>
		<pubDate>Wed, 28 Oct 2009 21:04:12 +0000</pubDate>
		<dc:creator>annjcurley</dc:creator>
				<category><![CDATA[Children's Health]]></category>
		<category><![CDATA[Germs]]></category>
		<category><![CDATA[H1N1 Flu]]></category>
		<category><![CDATA[Health]]></category>
		<category><![CDATA[Parenting]]></category>
		<category><![CDATA[Virus]]></category>
		<category><![CDATA[Miriam Falco - CNN Medical Managing Editor]]></category>

		<guid isPermaLink="false">http://pagingdrgupta.blogs.cnn.com/?p=1690</guid>
		<description><![CDATA[By Miriam Falco
CNN Medical Managing Editor
For all the (legitimate) talk about the new H1N1 influenza virus, it&#039;s worth a reminder that this new flu strain is not all we have to worry about as fall turns into winter (except for Colorado, which evidently has winter now).
There&#039;s also something called &#034;RSV.&#034;  As a medical reporter, [...]<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=pagingdrgupta.blogs.cnn.com&blog=3020773&post=1690&subd=cnnpagingdrgupta&ref=&feed=1" />]]></description>
			<content:encoded><![CDATA[<div class='snap_preview'><br /><p><em>By Miriam Falco<br />
CNN Medical Managing Editor</em></p>
<p>For all the (legitimate) talk about the new H1N1 influenza virus, it&#039;s worth a reminder that this new flu strain is not all we have to worry about as fall turns into winter (except for Colorado, which evidently has winter now).</p>
<p>There&#039;s also something called &#034;RSV.&#034;  As a medical reporter, I&#039;ve come across this term a few times.  As a new mom of a 6-month-old, I&#039;ve paid a little more attention and did some research.  RSV, or respiratory syncytial virus, can cause upper- and lower-respiratory infections.<br />
The symptoms include runny nose, dry cough, low-grade fever, sore throat, mild headache and general discomfort.  But in severe cases, it can cause bronchiolitis (infection of the tiny airways in the lungs) and pneumonia.  According to the Mayo Clinic, severe symptoms include &#034;high fever, severe cough, wheezing - a high-pitched noise that&#039;s usually heard on breathing out (exhaling), difficulty breathing, and bluish color of the skin due to lack of oxygen. &#034; </p>
<p>RSV is so common that virtually every child will be infected before his or her second birthday.  Fortunately, only a small percentage of infants develop severe illness.  Luckily for my little guy, he&#039;s apparently no longer in the highest risk group, since most children hospitalized for RSV infection are younger than 6 months of age, according to the CDC.  However, a study published in the New England Journal of Medicine in February suggests that among children 5 and younger, RSV infection is responsible for approximately 1of every 334 hospitalizations, 1 of every 38 visits to an emergency department, and 1 of every 13 visits to a primary care office each year in the United States. </p>
<p>Older people and adults with underlying illness can also be affected, but young children are at highest risk.   One way to limit the risk to your child is to require folks to wash their hands before picking up your baby.  Kissing can also spread RSV.</p>
<p>On August 30, the CDC stopped counting only H1N1 hospitalizations and deaths and started counting all hospitalizations for H1N1 and pneumonia; the new numbers will probably include cases of RSV too.</p>
<p>Consider this your reminder that in addition to H1N1 or swine flu, there are other viruses that lurk around.  So if you or your children or parents get sick, it&#039;s not automatically always swine flu.</p>
<p>Have you had an experience with RSV that you can share with others? </p>
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		<title>Nick Jonas shares his diabetes journey</title>
		<link>http://pagingdrgupta.blogs.cnn.com/2009/09/25/nick-jonas-shares-his-diabetes-journey/</link>
		<comments>http://pagingdrgupta.blogs.cnn.com/2009/09/25/nick-jonas-shares-his-diabetes-journey/#comments</comments>
		<pubDate>Fri, 25 Sep 2009 14:07:55 +0000</pubDate>
		<dc:creator>annjcurley</dc:creator>
				<category><![CDATA[Health]]></category>
		<category><![CDATA[Parenting]]></category>
		<category><![CDATA[diabetes]]></category>
		<category><![CDATA[Leslie Wade - CNN Medical Producer]]></category>

		<guid isPermaLink="false">http://pagingdrgupta.blogs.cnn.com/?p=1631</guid>
		<description><![CDATA[By Leslie Wade
Producer CNN Medical News
I had the pleasure of meeting pop star Nick Jonas when he and his band were touring in Atlanta, Georgia, in late August. I know he&#039;s had media training and been in front of cameras for years, but I was impressed with his composure as he told me about his [...]<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=pagingdrgupta.blogs.cnn.com&blog=3020773&post=1631&subd=cnnpagingdrgupta&ref=&feed=1" />]]></description>
			<content:encoded><![CDATA[<div class='snap_preview'><br /><p><em>By Leslie Wade<br />
Producer CNN Medical News</em></p>
<p>I had the pleasure of meeting pop star Nick Jonas when he and his band were touring in Atlanta, Georgia, in late August. I know he&#039;s had media training and been in front of cameras for years, but I was impressed with his composure as <a href="http://www.cnn.com/video/#/video/health/2009/09/23/nick.jonas.diabetes.cnn">he told me about his journey </a>with a disease that affects one in 300 teens.</p>
<div class='cnnStoryPhotoBox'><img src='http://i2.cdn.turner.com/cnn/2009/images/09/23/art.nick.jonas.jpg' alt='Nick Jonas talks about living with diabetes.' border='0'  width='292' height='219' />
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<div class='cnn3pxTB9pxLRPad'>Nick Jonas talks about living with diabetes.</div>
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<p>Four years ago Nick, the youngest member of the Jonas Brothers band, spent three days in the hospital. He&#039;d lost 15 pounds in the previous three weeks and he and his family knew something was terribly wrong. Nick had developed type 1 diabetes - his body was no longer producing insulin, a hormone needed to convert sugar into energy for our bodies.</p>
<p>Nick made a promise to himself that day. &#034;My commitment to myself, when I was on my way to the hospital, was that I would not let this slow me down. And I didn&#039;t,&#034; said Nick.</p>
<p>Nick and his family jumped into action, learning all about diabetes and how to treat the disease. &#034;I was devastated. I didn&#039;t know anything about diabetes, had no knowledge,” said Nick&#039;s mother, Denise Jonas. “I knew he was very ill just by looking at him.&#034;</p>
<p>&#034;We had to take steps to have everyone in our family and my brother, who toured with the boys on a regular basis, trained on how to care for Nick. How to monitor him, how to administer his insulin shots, how to test his blood, how to give him a glucose shot if for some reason he passed out and went into a diabetic coma. It&#039;s a lot of work,&#034; said Denise.</p>
<p>After leaving the hospital, Nick was determined to write a song about his experience. But the piece didn&#039;t come together for another 2½ years. &#034;I was having one of those days where it [the blood sugar] was out of range, things were not where I wanted them to be with my diabetes. I sat down at the piano and wrote the song and it came out in 15 minutes,&#034; explained Nick.</p>
<p>His song &#034;A Little Bit Longer&#034; seems to touch a chord in teens with diabetes, some of whom feel stigmatized and ashamed to have the disease. &#034;He&#039;s had a great voice in helping encourage children and teenagers with type 1… to let other people know they have it,” said Denise Jonas. “I didn&#039;t realize how much of the population was ashamed.&#034;</p>
<p>Nick&#039;s doctor, pediatric endocrinologist Francine Kaufman of Children’s Hospital in Los Angeles, California, also knows about the concerns of teens. &#034;The real driving force for a teen is to be just like every other teen, so having anything different - and particularly a chronic illness - sets you apart and many, many of these teenagers feel it, &#034; explained Dr. Kaufman.</p>
<p>Nick is trying to raise awareness and money for diabetes through the band&#039;s Change for the Children Foundation. (He&#039;s also a paid spokesperson for Bayer, which makes a device to monitor blood glucose levels.)</p>
<p>Nick checks his blood sugar 10 to 12 times a day and his doctor says he takes his disease seriously. &#034;Nick does what somebody with diabetes needs to do: wears an insulin pump, worries about how much insulin he&#039;s taking, monitors his blood sugar, stays healthy and gets exercise,&#034; says Dr. Kaufman.</p>
<p>But if the demands of his schedule mean a skipped meal before show time his brothers sometimes have to improvise. &#034;I just give them a look and tell them to cover for me while I go off stage and take care of some stuff,&#034; says Nick. Which usually means grabbing a little apple juice, orange juice or a bit of food to normalize his blood sugar before heading back out on stage. &#034;All of the crew on the tour are aware that I&#039;m diabetic and they all know how to react in case of an emergency or a situation where I may need assistance,&#034; says Nick.</p>
<p>And fortunately those times are rare - a testament to his promise to himself four years ago: Nick, now 17, has not let diabetes keep him from sharing his craft and living his dream. &#034;I&#039;m just thankful to be able to be out here doing what I love with diabetes... and if there is something that I can do personally to inspire and encourage somebody that means the world to me, &#034; says Nick.</p>
<p>Question: Do you or anyone you know struggle with telling others about diabetes? Tell us your story.</p>
<p><em><strong>Editor&#039;s Note:</strong> Medical news is a popular but sensitive subject rooted in science. We receive many comments on this blog each day; not all are posted. Our hope is that much will be learned from the sharing of useful information and personal experiences based on the medical and health topics of the blog. We encourage you to focus your comments on those medical and health topics and we appreciate your input. Thank you for your participation.</em></p>
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			<media:title type="html">Nick Jonas talks about living with diabetes.</media:title>
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		<title>How to manage H1N1 flu at day care?</title>
		<link>http://pagingdrgupta.blogs.cnn.com/2009/09/02/how-to-manage-h1n1-flu-at-day-care/</link>
		<comments>http://pagingdrgupta.blogs.cnn.com/2009/09/02/how-to-manage-h1n1-flu-at-day-care/#comments</comments>
		<pubDate>Wed, 02 Sep 2009 19:10:57 +0000</pubDate>
		<dc:creator>annjcurley</dc:creator>
				<category><![CDATA[Children's Health]]></category>
		<category><![CDATA[Flu]]></category>
		<category><![CDATA[Germs]]></category>
		<category><![CDATA[H1N1 Flu]]></category>
		<category><![CDATA[Health]]></category>
		<category><![CDATA[Parenting]]></category>
		<category><![CDATA[Caleb Hellerman - CNN Medical Senior Producer]]></category>

		<guid isPermaLink="false">http://pagingdrgupta.blogs.cnn.com/?p=1535</guid>
		<description><![CDATA[By Caleb Hellerman
CNN Medical Senior Producer
We&#039;re still waiting on federal guidelines for how day care centers and preschools should handle the H1N1 flu virus. They were promised last week, but the date has slipped amid behind-the-scenes debate over how far the guidance should go: Should they match the advice for K-12 schools, which say that [...]<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=pagingdrgupta.blogs.cnn.com&blog=3020773&post=1535&subd=cnnpagingdrgupta&ref=&feed=1" />]]></description>
			<content:encoded><![CDATA[<div class='snap_preview'><br /><p><em>By Caleb Hellerman<br />
CNN Medical Senior Producer</em></p>
<p>We&#039;re still waiting on federal guidelines for how day care centers and preschools should handle the <a href="http://www.cnn.com/SPECIALS/2009/news/swine.flu/">H1N1 flu virus</a>. They were promised last week, but the date has slipped amid behind-the-scenes debate over how far the guidance should go: Should they match the advice for K-12 schools, which say that students who are out sick can come back after just 24 hours without a fever? Or should the day care guidance be more restrictive, since young kids are more prone to complications &#8211; and tend to transmit more virus?</p>
<p>In the meantime, I’m watching the debate play out in miniature at the pre-school of my 3-year-old daughter and 15-month-old son. As it happens, my wife helps research flu guidance for the CDC, as do two other parents at the preschool. They helped write a preparedness plan for the school, which goes well beyond the CDC&#039;s guidance for K-12 schools &#8211; and is stronger than the basic advice the federal government is currently considering for daycares.</p>
<p>My wife and her colleagues recommended that students who are sick with respiratory symptoms stay away for at least seven days. One of them, a senior CDC flu scientist, told me that children with H1N1 typically shed virus &#8211; i.e., it&#039;s in their mucous and other secretions &#8211; for five to 10 days. She said that fits with <a href="http://i.cdn.turner.com/cnn/2009/images/09/02/viral.shedding.pdf">published research on other flu strains</a>, showing that young children often shed virus for seven days or even longer.</p>
<p>But the head of the school is pushing back. She’s OK with a seven-day restriction for toddlers, but wants it at five days for 3- to 6-year olds, and “24-hours fever-free” – the CDC’s K-12 guideline – for elementary-school-age students. More than that would be too hard on parents, she says. My wife and her friends want to include a warning that the rules are not meant to stop the spread of flu.</p>
<p>In the midst of all this, I talked with Dr. D.A. Henderson of the Center for Biosecurity, who oversaw the CDC&#039;s response to the <a href="http://www.upmc-biosecurity.org/website/resources/publications/2009/2009-08-05-public_health_medical_responses_1957.html">global flu pandemic</a> of 1957. He thinks the guidance to date has been too intrusive &#8211; that keeping sick students home longer than usual won&#039;t stop the spread of H1N1 and would lead to serious disruptions &#8211; including a shortage of health care workers staying home with their kids.</p>
<p>No easy answers, and a lot of disagreement, even among medical professionals. Just one more example: Yesterday, <a href="http://www.cnn.com/video/#/video/health/2009/09/02/gupta.h1n1.children.cnn">Dr. Sanjay Gupta visited a doctor at Children&#039;s Healthcare of Atlanta</a>, who reminded us that for most people, even young children, H1N1 is not likely to cause more than passing symptoms. <a href="http://www.cnn.com/2009/HEALTH/09/01/parents.h1n1.flu.guide.gupta/index.html">Dr. Jim Fortenberry said</a> that parents should not bring their kids to the ER unless they seem dehydrated, are younger than 12 weeks, have fever for three days or have a fever that returns after being gone for 12-24 hours. That&#039;s all well and good, but he didn’t mention <a href="http://www.cdc.gov/h1n1flu/recommendations.htm">CDC guidance</a> &#8211; which says that people in high-risk groups (including children younger than 5, as well as pregnant women and people with medical conditions such as asthma) &#8211; who have flu-like symptoms (fever higher than 100 PLUS a cough or sore throat) &#8211; should take antiviral medication right away, as a precaution. If you’ve got a child with those symptoms, you don’t have to go to the ER, but do call your doctor right away.</p>
<p>The head of my preschool wants to finalize and send out guidelines by tomorrow. As of now, she and the parents on the health committee have to make their decision without official CDC guidance.</p>
<p>Are you a parent? Have you received guidance from your child&#039;s day care on what to do if your child becomes ill?</p>
<p><em><strong>Editor&#039;s Note</strong>: Medical news is a popular but sensitive subject rooted in science. We receive many comments on this blog each day; not all are posted. Our hope is that much will be learned from the sharing of useful information and personal experiences based on the medical and health topics of the blog. We encourage you to focus your comments on those medical and health topics and we appreciate your input. Thank you for your participation.</em></p>
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		<title>Many baby-oriented ads depict unsafe sleep environments</title>
		<link>http://pagingdrgupta.blogs.cnn.com/2009/08/17/many-baby-oriented-ads-depict-unsafe-sleep-environments/</link>
		<comments>http://pagingdrgupta.blogs.cnn.com/2009/08/17/many-baby-oriented-ads-depict-unsafe-sleep-environments/#comments</comments>
		<pubDate>Mon, 17 Aug 2009 20:47:35 +0000</pubDate>
		<dc:creator>annjcurley</dc:creator>
				<category><![CDATA[Children's Health]]></category>
		<category><![CDATA[Parenting]]></category>
		<category><![CDATA[caregiving]]></category>
		<category><![CDATA[Miriam Falco - CNN Medical Managing Editor]]></category>

		<guid isPermaLink="false">http://pagingdrgupta.blogs.cnn.com/?p=1504</guid>
		<description><![CDATA[By Miriam Falco
CNN Medical News Managing Editor
Expectant parents have a lot to think about as the birth of their child approaches. Parenting classes can provide tips on a variety of topics including breathing techniques to help get through labor, breastfeeding and how to place your baby in the bassinet or crib to avoid sudden infant [...]<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=pagingdrgupta.blogs.cnn.com&blog=3020773&post=1504&subd=cnnpagingdrgupta&ref=&feed=1" />]]></description>
			<content:encoded><![CDATA[<div class='snap_preview'><br /><p><em>By Miriam Falco<br />
CNN Medical News Managing Editor</em></p>
<p>Expectant parents have a lot to think about as the birth of their child approaches. Parenting classes can provide tips on a variety of topics including breathing techniques to help get through labor, breastfeeding and how to place your baby in the bassinet or crib to avoid sudden infant death syndrome. SIDS is the leading cause of death among babies age 1 month to 1 year. According to the National Institutes of Health, most of these unexplained deaths occur between the ages of 2 and 4 months.</p>
<p>The exact cause is not known, but experts believe that the how a baby sleeps can play a big role in preventing a baby from dying. Having the baby sleep on his or her back is the No. 1 recommendation. Keeping the baby&#039;s bed free of anything that might suffocate him or her is also very important, which is why the American Academy of Pediatrics has the following guideline:</p>
<p>&#034;Keep soft objects and loose bedding out of the crib: Soft objects such as pillows, quilts, comforters, sheepskins, stuffed toys, and other soft objects should be kept out of an infant&#039;s sleeping environment.&#034; The group also says that if bumper pads are used, they should be “thin, firm, well secured, and not pillow-like.” Further, the academy says, “loose bedding such as blankets and sheets may be hazardous.&#034;</p>
<p>Now a new study finds that would-be parents are getting a mixed message, at least from some ads and photos in popular magazines. According to <a href="http://pediatrics.aappublications.org/cgi/content/abstract/peds.2008-3735v1">this study</a>, researchers looked at nearly 400 pictures in 28 popular magazines. Among photos that were used in advertising and articles, researchers found only 36 pictures depicting children in a safe sleeping position.</p>
<p>Most of the images pictured infant sleep environments that did not reflect AAP guidelines to prevent SIDS.</p>
<p>It reminded me of some of the images I saw surfing the Web as I was looking to outfit my baby’s nursery and put things on my registry for my shower.</p>
<p>I saw bedding sets with thick bumpers and blankets, which was confusing to me because I thought the only thing that&#039;s supposed to be in my baby&#039;s bed is the firm mattress, a sheet and him. My confusion seems to mirror what the researchers of this new study found. They found that &#034;messages in the media are inconsistent with health care messages, create confusion and misinformation...and may lead inadvertently to unsafe practices.&#034;</p>
<p>Have you seen images of babies wrapped in blankets and/or placed in super-soft bedding? Would images like this influence how you put your baby to sleep?</p>
<p><em><strong>Editor&#039;s Note</strong>: Medical news is a popular but sensitive subject rooted in science. We receive many comments on this blog each day; not all are posted. Our hope is that much will be learned from the sharing of useful information and personal experiences based on the medical and health topics of the blog. We encourage you to focus your comments on those medical and health topics and we appreciate your input. Thank you for your participation.</em></p>
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		<title>Heady advice on lice</title>
		<link>http://pagingdrgupta.blogs.cnn.com/2009/07/03/heady-advice-on-lice/</link>
		<comments>http://pagingdrgupta.blogs.cnn.com/2009/07/03/heady-advice-on-lice/#comments</comments>
		<pubDate>Fri, 03 Jul 2009 18:18:30 +0000</pubDate>
		<dc:creator>annjcurley</dc:creator>
				<category><![CDATA[Children's Health]]></category>
		<category><![CDATA[Health]]></category>
		<category><![CDATA[Parenting]]></category>
		<category><![CDATA[caregiving]]></category>
		<category><![CDATA[Andrea Kane - CNNhealth.com Producer]]></category>

		<guid isPermaLink="false">http://pagingdrgupta.blogs.cnn.com/?p=1382</guid>
		<description><![CDATA[By Andrea Kane
CNNhealth.com Producer
Pssst: Come here… A bit closer. I have a confession to make: One of my daughters has L-I-C-E. And it is driving me crazy, because it just will not go away, no matter how much I cut, comb and nitpick her hair. And I’ve been doing a lot of nitpicking lately – [...]<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=pagingdrgupta.blogs.cnn.com&blog=3020773&post=1382&subd=cnnpagingdrgupta&ref=&feed=1" />]]></description>
			<content:encoded><![CDATA[<div class='snap_preview'><br /><p><em>By Andrea Kane<br />
CNNhealth.com Producer</em></p>
<p>Pssst: Come here… A bit closer. I have a confession to make: One of my daughters has L-I-C-E. And it is driving me crazy, because it just will not go away, no matter how much I cut, comb and nitpick her hair. And I’ve been doing a lot of nitpicking lately – at times, I feel like a mama chimp grooming her child (minus popping the “prize” into my mouth). My daughter gets cranky having to sit there for an hour (especially when I pull an individual hair strand to remove an egg - aka: nit - that is cemented on) and I get cranky, too.</p>
<p>According to the <a href="http://www.cdc.gov/lice/head/index.html">CDC</a>, there are an estimated 6 million to 12 million head lice infestations each year in the U.S. among children 3 to 11 years old. Lice are usually transmitted through direct head-to-head contact. Less commonly, they can be passed on via a hat, comb, pillow or other personal object (contrary to our worst fears, lice don’t dive-bomb from one person’s head to another’s). Cleanliness and socioeconomic status have little to do with getting head lice, although race may have an impact; African-Americans are less likely to get them.</p>
<p>Aside from being icky and itchy, head lice are not known to transmit disease (although hard scratching can cause a secondary infection). That said, you don’t want them hanging around.</p>
<p>Our “ordeal” started in mid-May when I stopped by the school nurse’s office for her to have a look-see because her two best friends had it (that, and she was scratching an awful lot). “You see right there - those are nits,” she said, pointing to what looked like a bitty grain of salt on the hair shaft.</p>
<p>The nurse instructed me to shampoo my daughter’s with an over-the-counter pediculicide (lice-killing) shampoo, then comb out all the nits because OTC shampoos do not kill all the eggs (only the heavy-duty, super-toxic, prescription shampoo does). The third step (after shampooing and nitpicking) is to delouse personal objects.</p>
<p>At the drug store, the choices were many: popular OTC shampoos (with either pyrethrins – derived from chrysanthemums - or their synthetic cousin permethrin), homeopathic treatments (that promise to kill lice without harsh chemicals), gels to help with the nitpicking– even an electric comb that electrocutes the lice.</p>
<p>I ended up buying the store brand, partially because it offered the most shampoo at the cheapest price (the shampoos are expensive and we are - except for my husband - a household of long, curly-haired females, so we needed quantity, especially since we didn’t want to skimp). I slathered it on my daughter’s hair, waited 10 minutes, then rinsed and, with a fine-toothed comb, I combed… and combed… and combed, trying to get all of the nits out. Have I mentioned that she has long curly hair? A lot of it? A thick underbrush of it? Well, it took a long time to through it all. Except that I didn’t get it all: We both grew impatient before I was done.</p>
<p>Then, I threw all of her bedding into the wash, boiled all the combs and hairclips, and quarantined her stuffed animals and brushes. And for good measure, my husband and I shampooed our hair and washed our linens (as luck would have it, there had been a thunderstorm the night before and we played musical beds). I also checked her sister’s hair: Nothing! Mom 1, lice 1.</p>
<p>The next day, the lice were gone. And for a few glorious days, I thought we had dodged a bullet.</p>
<p>With most of the OTC shampoos, you have to retreat between seven and 10 days after the initial treatment, when the eggs that the shampoo failed to kill the first time finally hatch and repopulate the hair - but before the nymphs can grow into adults capable of reproducing. The life cycle of lice is about three weeks.</p>
<p>But before we could get halfway to retreatment time, they were back. So I cut off six inches of my daughter’s hair and we tried another brand of OTC shampoo; this one did not work at all (lice can become resistant to a particular pediculicide). So I went back to the first shampoo and I bought the electric comb (which was pretty cool and did electrocute some lice, but apparently not all). When that failed, I tried the homeopathic shampoo that works by dehydrating the lice and their eggs (this one you have to leave on for at least an hour, instead of 10 minutes). At the time of each treatment, we washed linens, boiled hair accessories all over again. The stuffed animals never made it out of quarantine.</p>
<p>But still the lice returned.</p>
<p>After about a month, at wits end, I called my pediatrician’s office. The nurse on call told me I could try the prescription shampoo (did I detect hesitation in her voice or was that me projecting?) or I could try one more “weird” treatment. Since I wasn’t particularly excited about the prospect of using poison so close to my child’s growing brain, I chose the latter. She recommended “Dippity-do.” Yup: The pink or green hair gel popular in the ’50s and ’60s. (It now comes in other colors too.)</p>
<p>But, she warned, I’d have to wrap my daughter’s hair in plastic wrap and a shower cap and leave it on for 12 hours. Similar to other home remedies - like mayonnaise and olive oil - the idea is to smother the lice in a thick coat of glop. The advantage of Dippity-do over the oily foodstuff is that it is much easier to wash out of hair (and doesn’t stink like unrefrigerated mayonnaise).</p>
<p>If this doesn’t work, I’ll be tempted to pull out the big guns: No, not the prescription shampoo but the electric razor – and give my daughter a buzz cut.</p>
<p>Have you or a family member had lice? How did you finally defeat it? Did using harsh chemicals on a small child worry you?</p>
<p><em><strong>Editor&#039;s Note</strong>: Medical news is a popular but sensitive subject rooted in science. We receive many comments on this blog each day; not all are posted. Our hope is that much will be learned from the sharing of useful information and personal experiences based on the medical and health topics of the blog. We encourage you to focus your comments on those medical and health topics and we appreciate your input. Thank you for your participation.</em></p>
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		<title>To know or not to know...that is the question</title>
		<link>http://pagingdrgupta.blogs.cnn.com/2009/06/11/to-know-or-not-to-know-that-is-the-question/</link>
		<comments>http://pagingdrgupta.blogs.cnn.com/2009/06/11/to-know-or-not-to-know-that-is-the-question/#comments</comments>
		<pubDate>Thu, 11 Jun 2009 13:52:34 +0000</pubDate>
		<dc:creator>annjcurley</dc:creator>
				<category><![CDATA[Parenting]]></category>
		<category><![CDATA[Women's Health]]></category>
		<category><![CDATA[Jennifer Pifer-Bixler - CNN Medical Senior Producer]]></category>

		<guid isPermaLink="false">http://pagingdrgupta.blogs.cnn.com/?p=1285</guid>
		<description><![CDATA[By Jennifer Pifer-Bixler
CNN Senior Medical Producer
Attention all mommies and daddies-to-be. Apparently there is a test you can now buy at the drug store that will predict the gender of your baby. Since Sanjay reported on the test Tuesday it&#039;s been a hot topic around the newsroom. Sanjay&#039;s producer even called and asked whether I wanted [...]<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=pagingdrgupta.blogs.cnn.com&blog=3020773&post=1285&subd=cnnpagingdrgupta&ref=&feed=1" />]]></description>
			<content:encoded><![CDATA[<div class='snap_preview'><br /><p><em>By Jennifer Pifer-Bixler<br />
CNN Senior Medical Producer</em></p>
<p>Attention all mommies and daddies-to-be. Apparently there is a test you can now buy at the drug store that will predict the gender of your baby. Since <a href="http://www.cnn.com/2009/HEALTH/06/09/gender.prediction.test/index.html">Sanjay reported on the test Tuesday </a>it&#039;s been a hot topic around the newsroom. Sanjay&#039;s producer even called and asked whether I wanted to take the test.</p>
<p>You see, I am having a baby in October. We haven&#039;t found out the gender. At least not yet.</p>
<p>At first, I was all for finding out if little TBD (that&#039;s what I call the baby) was a girl or a boy. The Type A producer in me wants to plan, plan, plan. How should we decorate the nursery? Should we save all the princess costumes and Hannah Montana gear? (Before you get the wrong idea, I should mention we already have a 5-year-old daughter.) Finally &#8211; and most importantly &#8211; as my belly expands and I begin to feel TBD flutter around, I want to give the baby a name, an identity. It would help me bond with TBD.</p>
<p>But now, I am having second thoughts. One of my friends is due in June and she doesn&#039;t want to find out her baby&#039;s gender before it’s born. A colleague who had her son a few months ago did the same thing. One of my editors feels so strongly about this that she begged me to reconsider. Twice. &#034;It&#039;s one of the few surprises left in life!&#034; she says with great passion.</p>
<p>Maybe it is the pregnancy hormones, but now I feel conflicted. I even put the question to my Facebook friends. Should I find out or should I wait? The next ultrasound is right around the corner. What do you think?</p>
<p><em><strong>Editor&#039;s Note:</strong> Medical news is a popular but sensitive subject rooted in science. We receive many comments on this blog each day; not all are posted. Our hope is that much will be learned from the sharing of useful information and personal experiences based on the medical and health topics of the blog. We encourage you to focus your comments on those medical and health topics and we appreciate your input. Thank you for your participation.</em></p>
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