Medical Issues Affecting Today’s Kids

By Adem Lewis / in , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , /

Good morning Amy Simon here. It’s
back-to-school time which means doing
everything we can to set our kids up for
a successful and healthy year. Today
we’re exploring a variety of topics that
can impact our children. Precocious
puberty, asthma medication delivery
systems, and for any child who is
ditching their glasses for contacts a
solution for cleaning those lenses. Access Health starts now! According to the latest from the
CDC 25 million people in this country
have asthma and 6.3 million of them
are children. Asthma is defined as a chronic
disease and since there is no cure a
well-executed asthma management plan is
the best defense. But for mothers of asthmatic
children those best laid plans can be
daunting. Luckily joining us today to
offer her expertise and support is the
president and CEO of the Allergy and
Asthma Network, Tonya Winders. Tonya
welcome! Thank you, thanks for having me! First of all let’s talk numbers. Over six
million children have asthma. Yes actually most Americans
would be surprised to hear that there are
on average three children with
asthma in every single classroom. It’s the number one reason kids
miss school accounting for over a
hundred and forty four million missed school
days each and every year and
therefore it’s the most chronic and the most
costly childhood disease. You have five
children, four of them are teenagers. Yeah. And
four of them have asthma or allergies
themselves so that pretty much makes you
an expert on this topic, so what kind of
plan would you put in place? Well you
know as the mother of five, four with this
condition it is my life. I’ve spent most of the last 20
years focused on this particular cause
and effort, both professionally and
personally and an asthma action plan and
asthma management plan is the first
critical key because it tells you first
of all how to understand your diagnosis. Also what medications to take
and when, how to identify specific triggers
because of your asthma in your environment,
and perhaps control those triggers
as much as possible and it really
reinforces what good asthma control looks
like and so it’s a key critical piece to
understanding your disease and managing
it more effectively. Well this
sounds like a plan that could be
challenging for adults much less a child
that may be as little, like mine was one
year old when she was on a nebulizer she
can’t tell me what’s wrong with her
so. Exactly,
it is a very sometimes an overwhelming task
to manage asthma. Depending on exactly how severe
it is and how much it impacts your
life, and so that’s again why it’s so
important to have this asthma management plan
but also to know how to take your
medications correctly because the
medications in and of themselves are a
little bit tricky and challenging,
especially for children and for senior
adults. So these inhalers that
are the most common medication for
asthma is very challenging because you
have to have very solid what we call
breath hand coordination to take the
medication appropriately and make sure that
it gets into your lungs rather than into
your mouth or the back of your
throat. In fact
studies show that greater than 80
percent of patients do not take their
medications correctly with their inhalers. And not only do we
have challenges with the inhalers
because of the breath hand coordination
that it takes to take it correctly, but
also we have issues with the nebulizer
treatment. So this is the the box that
makes the medication into a mist that then
gets the medication into the airways
for especially small young babies
and children and then senior adults. So
besides the stress of having a child
with many symptoms and the quality of
life challenges there’s also the stress
of knowing that your child may not
always be getting a complete dose of
their medicine, how do you know? That’s
the challenge and that’s why at Allergy
and Asthma Network we’re often looking
for innovative techniques and treatments
that are out there and that’s why I’m so
excited to share with you about the
InspiraChamber and the soother mask
today because those are really innovative tools that can help
ensure we get the complete dose every time
to the lungs. So tell us a little bit
about that? Well the InspiraChamber itself
is a valve holding chamber that holds
the medication and allows the patient to
breathe in and out at their own pace
and get the medication rather than into
the mouth or the back of the throat into
the lungs in the airways where it can
work most effectively. The
soother mask is an adapter that goes onto
that and that mask actually comes in
small, medium, or large sizes and the small
size is really great because it actually
has a pacifier slot. So you know for
you and I as our babies were little we
didn’t want to wake them up
to give them a nebulizer treatment. Wouldn’t it have been
wonderful you could just put on a mask
that you knew had a great seal, because it
actually has an indicator for that and
then stick their paci in their mouth and
they sleep through their entire
asthma treatment without ever even
waking up. I
mean as a young mom that would have been
gold to me, to have that type of tool to
really ensure that my baby was getting a
good night’s sleep and in turn I was as
well. So this could be used from
kids to adults? Yes, especially again
those senior adults. Think about you know as
we have aged sometimes we get arthritis
in our hands and it’s very
difficult to actuate to use the inhalers and
so these tools will actually help to in
those cases as well to ensure that the
medication is getting exactly where it
needs to go, deep into the airways rather
than in the mouth or the back of the
throat. This is great, thank you
so much for sharing all this information
with us today. Thank you for having me! If your
child has asthma I want to give you
these important resources again. That’s
InspiraChamber dot com and Allergy Asthma
network dot org. And of course you can find
everything you’ve seen here today on our
web site access health dot TV. (Music) (Music)
More than four million babies are born
in this country each year and the
majority arrive healthy and full-term
but that doesn’t stop 78% of mothers to be for
worrying about potential birth defects. Non-invasive
prenatal testing also referred to as NIPT
is a relatively new option in screening. It can get you some
of the insights you’re looking for
about your baby’s health and reduce some of
that anxiety. Here to help us
navigate is Patty Taneja
She’s a genetic counselor from Illumina,
Patti thank you for being here! Thank you
for having me. Is this test for
women who are over a certain age or are
there certain risk factors? The
American College of Obstetricians and
Gynecologists actually recommend that
all pregnant women, regardless of age
be offered screening or testing during
pregnancy for these common chromosome
conditions. Screening has been
around for a very long time,
and IPT is the first prenatal screening
option that actually looks at DNA from
the developing pregnancy without needing
to do an invasive procedure like an
amniocentesis or chorionic villus sampling,
also known as CVS. What exactly
is NIPT? So NIPT is a very simple
non-invasive blood draw that is safe for
both mom and baby. It can be
done as early as 10 weeks in pregnancy
and often women have it in the first
trimester. When you do this blood draw,
what you have is DNA that’s circulating
in Mom’s blood from the pregnancy. These
little fragments of DNA can be analyzed
to see if you have the correct or
expected number of chromosomes present in
that developing pregnancy. If the
correct number of chromosomes is not
present, so if an abnormality is determined
then this can have serious effects on
the health and development of the
baby. So
what exactly is NIPT screening for? So
NIPT looks for common chromosomal
conditions that occur during pregnancy. These are ones that are not
typically inherited meaning there’s not a
family history but they’re more likely
to happen by chance. So one that
people are most familiar with is an extra
copy of chromosome 21,this is also
called trisomy 21 or Down Syndrome. So
NIPT screens for that, as well as
trisomy 18 or Edwards Syndrome, trisomy 13
or Patau Syndrome or differences in the
sex chromosomes which are x and y. There
are some NIPT tests that have expanded
panels that are available as well which
can also look at smaller missing pieces
of DNA on different chromosomes or
other more rare chromosome abnormalities. What would you tell women who
are considering NIPT? Well I think
the decision to screen or test for
chromosome conditions during pregnancy
is a very personal decision and I would
encourage a woman who is considering
this to think about what this information would provide. Would
it allow for her and her family to
prepare for the future? Thank you so much
for being here Patty. You know I think
what it comes down to is with today’s
new technologies new moms have a lot
of options to get some early
insight into their baby’s health and that’s a
great thing. For more information on
the non-invasive prenatal testing
option discussed today visit Illumina
dot com and you can always go to our website
access health dot TV. We’ll see you
next time (Music) (Music)
Raise your hand if you wear contact
lenses. Now raise your hand if
you think you do a pretty good job of
keeping your lenses clean. Hmm you may want
to go ahead and put your hand down because
listen to this according to the CDC 99% of
contact lens users have at least one bad
hygiene habit putting them at risk for a
serious eye infection. So first of all
what are we doing wrong when it comes to
cleaning our contact lenses? Dr. April
Jasper has seen it all. There are many
things that we can do better when we care
for our lenses one of the interesting
things that we hear all the time people
are away from their solution and
they will actually rinse their lenses and
tap water which is a big no-no. And
you know they’ll take their contacts and
put them in their mouth and think that
that’s okay as well, but the reality is
it’s not. It’s super important
that we do things in a particular way. One
of the most important things, wash your
hands and it’s important to wash your
hands with soap and water and use a
lint-free towel to dry your hands before
putting your lenses in or taking your
lenses out. The second thing we find is that
sometimes patients double-dip. So they’ll reuse their solution
and put their lenses in solution one
night, take them out wear the lenses and
then use that same solution a second time
which can be very dangerous as well. And then
the third thing if we can look at that
is just to make sure that you’re very
careful to avoid swimming and showering
in your contact lenses. And
though we may joke about our silly habits bad
contact lens hygiene is no laughing
matter. Dr. Jasper explains some of the
consequences. As a result of
poor contact lens hygiene one of the things
we find and probably one of the most
serious are eye infections and I can tell
you nearly 1 million patients a year are
diagnosed with eye infections as a result
of poor contact lens hygiene. That’s
definitely something we can fix, it’s
avoidable. All
contact lens solutions are not created
equal. Most importantly there’s two
different kinds, multi-purpose solutions
and hydrogen peroxide solutions. Multi-purpose solutions seem
convenient however, most people that use
them do not use them correctly which could
put them at risk for serious eye
infections. The
other challenge with multi-purpose
solutions is that they have preservatives in them which some
patients can be sensitive to. Today’s
hydrogen peroxide solutions are highly
effective at cleaning and disinfecting
and they’re very simple to use, and they
don’t have those preservatives in them
that some patients are sensitive to. Plus
as you can see from the bubbles you can
actually see it working. The ClearCare brand is the
number one recommendeded peroxide solution
by eye doctors but Clear Care Plus is
the next level of lens care. So what
you’ll do is you’ll take your contact lenses,
you’ll open the basket just like so. You’ll
place the lens in the basket, both lenses
then you take the solution and you rinse
the lenses for five seconds you then
fill the cup to the line with the
solution. The solution as you
see here that we’re using the
peroxide solution once you start to see
the bubbles
after you place the lens in the basket
and into the cup those bubbles are that
hydrogen peroxide system killing germs
and bacteria. They kill 99.9% of
those germs even the very difficult
ones. The
bubbles are loosening that dirt, disinfecting the lens, and
removing the proteins as it works. You leave
it to soak for a minimum of six hours
and then when you take the lenses out
after that the solution that’s left is a
gentle, preservative free, saline that’s
more like your tears than most
multi-purpose solutions. How much difference
do properly clean lenses make? The
proof is right before your eyes. Patients
can develop irritation on the eye
due to a variety of reasons, including
not cleaning their lenses properly
or from some preservatives in a solution
being soaked up by the contact lens
like a sponge and then being released
on the eye. If serious enough
these irritated areas could lead to a
serious eye infection. We can
see these irritated areas in the office by
putting a special dye in the eye which
makes them show up bright green. This
is called corneal staining, you can see
there is less staining on the eye when
the patient wore a lens cleaned with
peroxide solutions than with a multi-purpose solution. Less
staining means the solution is more
compatible with your eye. When a patient
comes in with contact lens discomfort or
eye discomfort that is related to
their contact lenses, one of my
recommendations for them is to use a solution
that is going to provide long lasting
comfort. Clear Care Plus is a peroxide
based solution with Hydro Glide which
is a molecule that reconditioned soft
contact lenses to provide moisture all
day long and create better comfort
towards the end of the day. For more info
about healthy contact lens hygiene
visit clear care solution dot com or
just log on to access health dot TV. The old
adage, kids they grow up too fast what if your
child really is maturing too soon? This and
more coming up next. (Music) (music)
Central Precocious Puberty also known as
CPP occurs in one out of every five to
ten thousand children and it’s more
common in girls. If left
untreated children with CPP may not
achieve their normal adult height. For the
majority of children with CPP there is no
known cause. Central Precocious
Puberty is an endocrine disorder triggered by
the early release of the hormones by
the glands in the brain that are
responsible for puberty. This often launches a child into
sexual maturity at an earlier age than
usual. Meaning prior to age eight in
girls and age 9 in boys. Joining me today
is Sonya McTillman, Director of the
Precocious Puberty Division at the Magic
Foundation an organization dedicated to
helping children with rare growth
disorders. Welcome Sonya. Thank you for
having me! So
Sonya in addition to your responsibilities at the Magic
Foundation you’re also a mom of a daughter
with CPP. Can you share your journey to
diagnosis with us, for example what were
some of the signs or symptoms? When
Sydney was 3 I noticed that her physical
development was advanced, more than it
should have been for a three year old. Sydney
appeared to have what looked like breast
development, she was also very moody. Her
moods were almost that that you would
think of as a teenager having. Just things
that were really alarming to see in a
three year old. It was very
concerning so I talked with our pediatrician
about our concerns and he suggested that
we monitor Sydney’s growth. And
over the next few months we monitored any
other symptoms that she might have. Those that
you would think of as typical puberty
symptoms like body odor, body hair,
her growth being accelerated, so we
monitor those for a few months. Those are
things you saw at 3 years old? Those are
the things I saw at three years old, yes. We learned that even though
Sydney was 3 and starting this process she
was really on the early end of the spectrum
for kids that have central
precocious puberty. Based on the fact that
I’ve been able to check off several things
on that list that he gave me to monitor
for, we got a referral to the
pediatric endocrinologist. The pediatric endocrinologist is
a doctor that specializes in
monitoring children’s growth rates. He explained that Sydney would
be undergoing a series of tests to
determine if she had this condition
called central precocious puberty. We
started the diagnostic process which
includes of doing blood work to monitor
for pubertal level hormones, we had
a physical exam,she also had to do
a MRI of the brain to exclude that
there might have been something going on the
pituitary area, and a bone age exam. The
bone age exam can determine if a child
was advanced beyond where they should be
as far as their growth is concerned. So
what did the pediatric endocrinologist
suggest? He suggested that we
explore the different options that are
available for slowing puberty down and really
putting it on hold for time so that
Sydney could be allowed to grow at a more
typical pace. So I have to ask how did
you explain all this8 to Sydney? I
explained to Sydney that her body was
doing things that just worked differently for
her age. They were typical for bodies to
do, but just not at the age that she
was. So we were going to work with
the doctor that was going to help slow
things down. So that must have been a
stressful time, how are you feeling? It was an
unbelievably stressful time for me,
because as a mom you know if you think
something’s wrong with your child’s
growth or development you’re trying to
find answers and I remember during those
early stages, being up on my laptop at
night searching symptoms. Searching you
know the condition and just wanting to
know more information and it was at that
time that I found the puberty too early
website, puberty too early dot com and that gave
me a lot of information and I also
stumbled across our Magic Foundation
website and our acronym stands for Major
Aspects of Growth in Children. So we help
families all over the world whose
children have growth conditions, including Central Precocious
Puberty. Our
Magic Foundation website is a great
resource. You can learn more
about my personal story and Sydney being
diagnosed and you also can learn about
great resources and sort of guides and
things that you can do if you suspect
that your child has this condition, things
that you can do and take to your
pediatrician and your pediatric endocrinologist
if the child is actually diagnosed. How
is Sydney doing now? Sydney is
doing fabulous now! She was treated
for for five years for central
precocious puberty and she just ended
treatment a few months ago, but she’s doing
awesome! Thank you so much for the
education today on CPP and especially for
sharing your personal story with us. I’m
so glad that Sydneys doing better now. Thank
you. For more details on CPP and
the information discussed today
visit puberty too early dot com,
and you can always go to our website
access health dot TV and we’ll see you
next time! (Music)

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