Ask the Expert

Last Visited »

How Can I Keep My Kids Safe And Healthy This Summer?

It’s that time of year again – school’s out, no more homework, and children have lots of free time to have fun.

However, with the constant outdoor play – including water activities and, of course, the hot weather – summer is a time when parents and caregivers should be extra cautious about potential threats to children’s safety.

Here are some important tips that can help keep your children out of danger – and out of the emergency room.

Water Safety

  • Never leave a child alone in or near the water, not even for a minute. Children – even those who are good swimmers – should swim only with adult supervision.
  • Floatation devices and inflatable toys are just that – toys. They do not replace adult supervision in the swimming pool, a kiddie pool, or a bathtub. It only takes seconds for a child to drown.
  • If you have a backyard pool or live on/near water, you need to have layers of protection to safeguard your children. These include: window and door locks/alarms, self-latching and self-locking pool fencing, a Shepherd’s Hook or rescue ring, and a telephone nearby (with emergency numbers and your address by the telephone).
  • No diving into the water – always go in feet first to protect the head and neck.
  • Select swimming sites that have lifeguards available. Never swim in unguarded lakes or canals because there may be many dangers just beneath the surface of the water.
  • Learn cardiopulmonary resuscitation (CPR). Due to the time it may take for paramedics to arrive, CPR skills can make the difference between life and death.
  • If you see someone in trouble in the water, practice “throw, don’t go.” Do not jump in any body of water to rescue someone, because they may pull you under. Instead, throw them a rope or rescue ring.

Sun Protection

  • The sun is strongest between 11 a.m. and 3 p.m., so try to keep your children out of direct sunlight during this time of day.
  • Apply sunscreen with an SPF of 15 or higher to all children over 6 months old – and reapply it every two hours, or more, if swimming. Use sunscreen even when you’re in the shade.
  • Children should drink plenty of fluids; they are susceptible to heat exhaustion and dehydration.

Insect Bite Prevention

  • There are many different types of insect repellents available including aerosol, spray, liquid, cream, and stick. Protection and duration vary considerably among products and insect species.
  • Apply safe and effective insect repellents to the outside of clothing and exposed skin. Insect repellents containing DEET should not be used on children under 2 months old.
  • Do not allow children to handle insect repellents.
  • Apply repellent to your own hands and then put it on the child’s exposed skin. Never apply the repellent directly to children’s hands and faces. Rub it into their necks and ears, staying away from their mouths and eyes.
  • Dusk and dawn are the worst times for bugs, so stay indoors during these times, or wear long-sleeved shirts and pants.
  • After returning indoors, wash your child’s treated skin or bathe the child.
  • Clothes exposed to insect repellants should be washed with soap and water.

Vanessa Plunkett Vanessa Plunkett RN, MSN-HCA, is nurse manager of the Chaplin Family Pediatric Emergency Room at Holtz Children’s Hospital. She has worked in different capacities in the emergency department throughout her career; however, pediatrics and pediatric safety are her first loves. Vanessa can be contacted at vplunkett@jhsmiami.org. 
 

Back to Top

Bike Helmets Protect Against Brain Injury

March is not only the official start of spring, but is Brain Injury Awareness Month as well, making it the perfect time to get outdoors and also learn about injury prevention. 

The statistics are staggering – nearly 362,000 children under 14 years of age are injured annually in bicycle-related incidents, and 200 of them are killed. Non-helmeted riders are 14 times more likely to be involved in a fatal crash than those wearing helmets.

It’s important to take the time to follow these simple instructions to make sure your bicycle helmet does the job it’s designed to do. The fact is, a helmet can’t protect you from a head injury if it doesn’t fit.

1. Measure. Measure the bike rider’s head before buying a helmet. Do not buy a helmet by age. Measure the top of the head (in centimeters) where the helmet will sit. Take that measurement to the store and buy a helmet closest to that measurement.

2. Level. Place the helmet comfortably on the head and make sure both left and right straps fit around the ears. Each strap buckle should be located approximately one adult finger below the earlobe.

3. Too Loose. If the rider can put more than two of their fingers between their chin and the strap, the helmet is too loose.

4. Snug. Some helmets have a button to turn; others have a buckle in the back. Adjust the helmet so it’s snug but still allows the rider to comfortably talk, eat, and drink.

5. Two Fingers. Two of the rider’s fingers measure the correct space between the helmet and their eyebrow.

6. Stable. The helmet should not slide around when the rider moves their head.

Cindy Magnole Cindy Magnole is the injury prevention coordinator at Jackson Memorial Hospital, and a registered nurse in the Chaplin Family Pediatric Emergency Room at Holtz Children’s Hospital. She is also chair of the Miami-Dade County Injury Prevention Coalition. Cindy can be contacted at cmagnole@jhsmiami.org
 

Back to Top

Sugar Fact vs. Fiction

In a society where healthy lifestyle choices are on the rise, it’s important to not only be armed with a wealth of knowledge, but to ensure that information is accurate. More so, with the holidays just around the corner, it can be difficult to sort through the sweets and choose more nutritional alternatives. Here, we separate fact from fiction about a controversial dietary topic – and we don’t sugarcoat the truth.

What are the different types of sugar?
Naturally-occurring sugars are carbohydrates that are present in fruits, vegetables, and milk.  There are also added sugars, such as refined sugars (white), raw and unprocessed sugars (naturally brown), natural sweeteners (raw honey, agave nectar, raw stevia), and artificial sweeteners or sugar substitutes (Equal, Splenda).

How bad is sugar for you?
Sugar isn’t completely detrimental to your health, unless you consume excessive amounts. Processed foods, such as breads, cereals, and ice cream, can contain high levels of High Fructose Corn Syrup and added sugar, which results in a person’s over consumption without them even realizing it. This is also true for sweetened beverages. In general, the less sugar, the better. The American Heart Association recommends less than 100 calories of added sugar for women (six teaspoons), and less than 150 calories for men (nine teaspoons), per day.

Is high sugar intake related to any specific health conditions or problems?
Excessive amounts of sugar can cause serious health ailments such as obesity, heart disease, and inflammation.

Does eating too much sugar cause diabetes?
Consuming excessive amounts of sugar won’t cause diabetes, as a genetic factor must be present to develop the disease. However, obesity does play a large role for those individuals who are predisposed to type 2 diabetes, and consuming excess sugar is a significant contributor to weight gain.

Does eating sugar cause cancer?
Some studies have linked high sugar consumption to cancer, but it hasn’t been scientifically proven. Cancer cells do feed off of sugar, though, so those individuals that already have a tumor or cancer cells present are advised to limit their sugar intake, in order to prevent further growth.

Is sugar addictive?
Yes, consuming sugar stimulates the release of dopamine, just like some drugs, causing intense feelings of happiness. The more sugar consumed, the stronger the cravings,  which can ultimately result in addiction.

Does high sugar intake affect your mood?
Yes, excessive sugar consumption makes your body increase insulin production, resulting in hyperactivity.  This lowers your blood sugar and can suddenly make you feel tired and cranky.

Rocio Garcia, RD/N, is a Miami-based registered dietitian/nutritionist practicing medical nutrition at the Miami Transplant Institute (MTI) at the University of Miami/Jackson Memorial Medical Center. Garcia maintains a practice specializing in nutrition and wellness and has expertise in creating healthy recipes with authentic Latin flavors.

Back to Top

How Can I Keep My Kids Safe on Halloween?

By Cindy Magnole, R.N., BSN

Each Halloween, children look forward to dressing up as their favorite character or scary monster and hit¬ting the streets to trick-or-treat. It is one of the most exciting holidays of the year – but it can also be the most dangerous.

It is important for parents to take some basic precautions to ensure that their children have a fun and safe night out. The Miami-Dade County Injury Prevention Coalition at Jackson Health System has some suggestions to make sure your Hal¬loween is full of memories, not regrets.

  • Make sure your children under¬stand the importance of walking on the sidewalk while trick-or-treating.
  • Pick costumes that are bright or reflective, and carry a flashlight or lighted glow stick, which are visible to motorists. Never use candles, as they are fire hazards.
  • To prevent falls, avoid wearing cos¬tumes that drag and shoes with high heels.
  • Look for costumes and wigs that are flame-resistant. Avoid masks as they may obstruct vision; use non-toxic makeup instead.
  • When accessorizing your costume with items such as swords, canes, or sticks, only use those that are made of soft material, not hard plastic, which can cause injuries.
  • All children under 13 should be ac¬companied by an adult while trick-or-treating.
  • For younger children, secure emer¬gency contact information on their Halloween costumes. Include your name, home phone number, address, and cell phone number.
  • If your kids are old enough to trick-or-treat without an adult, map out a route and make sure they carry a cell phone in case they need to call home for any reason.
  • Never trick-or-treat alone. There is safety in numbers.
  • Choose neighborhoods with well-lit streets where other families will be trick-or-treating. Malls and orga¬nized street festivals are other safe places to go trick-or-treating.
  • Remind your children to walk, not run, from house-to-house and cross the street at the corner after looking both ways.
  • Make sure children know never to enter a stranger’s home or car to get their treats – no exceptions.
  • Inspect all candy carefully. Any candy that is suspicious, appears old, or has an open wrapper should be thrown in the garbage.
  • Be careful with hard round candies and jawbreakers, which can be a choking hazard for younger children.

Make sure your children know these very important ground rules before heading out for Halloween fun.

It is also important for adults to avoid giving out candy with peanuts, as many people have peanut allergies. Additionally, leave dogs at home because costumes may scare them and cause them to bite, and take special care when driving, as there will be many excited children out on the streets.

For more information on Halloween safety or general safety tips, visit www.JacksonHealth.org and search Halloween tips.

Cindy Magnole Cindy Magnole is the injury prevention coordinator at Jackson Memorial Hospital, and a registered nurse in the Chaplin Family Pediatric Emergency Room at Holtz Children’s Hospital. She is also chair of the Miami-Dade County Injury Prevention Coalition. Cindy can be contacted at cmagnole@jhsmiami.org
 

Back to Top

A Parent's Guide to Short Gut Syndrome

Short bowel syndrome (SBS), otherwise know as “short gut syndrome” or “intestinal failure," is a condition where a patient’s intestine is unable to support their nutrient and fluid needs.  In children, this could lead to significant deficits in their growth and development. SBS can result after surgical removal of part of the bowel or due to a condition that results in dysfunction in a large segment of the bowel. Some conditions commonly leading to short gut syndrome in children include: Crohn's disease, Hirschsprung’s disease, Berdon syndrome, necrotizing enterocolitis and trauma. 

  • Is there a pediatric group that’s more at risk than others?

Premature infants are at increased risk of short gut syndrome because they are more susceptible to necrotizing enterocolitis (NEC), a condition where parts of the bowel undergo necrosis and may require surgical resection.  NEC affects 5-10 percent of babies born with low birth weight and often requires care in the neonatal intensive care unit (NICU). 

Click here for information about the NICU at Holtz Children's.

  • What would my child’s daily routine be like if he/she is living with short gut syndrome? 

A child living with short gut syndrome usually cannot tolerate a regular diet. A regular diet may lead to vomiting, abdominal pain, diarrhea and risk of dehydration. They may not tolerate eating by mouth and may require a tube in the stomach (gastrostomy tube) for feeding. 

In the most severe of cases, they may require nutrition to be given by a vein (parenteral nutrition, PN). This would require the placement of an intravenous catheter through which IV nutrition could be administered. 

  • What can be done to improve my child’s feeding regimen?

The goal of any feeding regimen is to maximize the ability of the remaining functional bowel to absorb nutrients and fluid. This process is known as intestinal rehabilitation. At the Miami Transplant Institute’s Intestinal Care Program, we will assess the remaining bowel in detail by means of history, laboratory and imaging. This would allow us to build an individualized feeding regimen for your child that may include specific foods, specialized formulas, different modes of feeding administration, several medicines and even an oral motor/speech therapy regimen. Some children whose bowel fails to adapt to changes in feeding and medical treatment may benefit from a STEP (serial transverse enteroplasty) procedure. This is a surgical technique where the short bowel may be lengthened. Other types of surgeries to improve the bowel function may be utilized such as achieving continuity of the bowel by closure of ostomies (surgical openings used to release waste from the body). 

  • What are some of the complications connected to short gut syndrome?

Patients with short gut syndrome are at risk for dehydration and electrolyte abnormalities that may require frequent hospitalization. Children are at risk of failure to thrive and may not meet developmental milestones. Patients that require IV nutrition are at risk of liver disease and clot formation in vessels where lines are placed. There is also an increased risk of life-threatening infections from bacterial overgrowth in the short bowel and/or mishandling of the IV line.

  • What are my child’s other treatment options?

If a child’s short bowel does not adapt properly despite dietary, medical and surgical interventions and/or complications arise during an attempt at intestinal rehabilitation, an intestinal transplant may be necessary. The Miami Transplant Institute has one of the longest-standing intestinal transplant programs in the world. Early referral for an intestinal transplant evaluation is always key as complications may arise without warning. Waiting lists may also be longer than one would like and transplantation when one is “healthier” improves long-term outcomes.  

  • What advice do you have for any parent living with a child that has short bowel syndrome?

Having a child with short gut syndrome can be quiet overwhelming. It is known that a key factor in predicting success of these complex patients is strong psychosocial support. Be involved in your child’s care. Know your child’s medical history and play and active role in decision making. Know when to ask for help and know that you are not alone. The goal is for parents to play an active role in our multidisciplinary team.

Dr. Jennifer Garcia is the medical director of the Pediatric Liver and Intestinal Transplant Program and the Intestinal Rehabilitation Program at the Miami Transplant Institute. She received her Bachelor of Science from the University of Michigan-Ann Arbor and obtained her medical degree from Tufts University in Boston. Dr. Garcia completed her residency in pediatrics followed by a subspecialty fellowship in gastroenterology, hepatology and nutrition at UM/Jackson Memorial Medical Center. She has been on staff at Holtz Children's Hospital since the completion of her fellowship in 2010. 
 

Back to Top

Knowledge is Key to Preventing Heart Disease and Death

Heart HealthBy: Juan Pablo Zambrano, M.D., FACC, FSCAI

You may have heard some of the statistics about how many people are affected by heart disease in the United States and how many die from it every year. The statistics are real, and they are growing.

  • Annually, some 600,000 people die of heart disease, and it doesn’t spare many ethnicities. It’s the leading cause of death for both men and women who are African Americans, Caucasians and Hispanics. It’s second only to cancer deaths for Asians in the United States, American Indians or Alaska natives.
  • Every year about 935,000 Americans have a heart attack, and approximately two-thirds of those are having their first one.

Know The Signs So You Can Take Action

Do not talk yourself out of paying attention to these warning signs and symptoms. It’s better to act on a “false alarm” than to never get another chance.

  • Chest pain or discomfort
  • Upper body pain/discomfort in the arms, back, neck, jaw or upper stomach
  • Shortness of breath
  • Nausea, lightheadedness or cold sweats

Are You At Risk?

Key risk factors for heart disease are high blood pressure, high LDL cholesterol and smoking. Almost half of Americans (49 percent) have at least one of these risk factors. Several other medical conditions and lifestyle
choices can add to your risk. These include overweight/obesity, diabetes, poor diet, physical inactivity and excessive use of alcohol.

Be Proactive: Protect Your Heart

Lowering your blood pressure and cholesterol will reduce your risk of dying of heart disease. Additionally, you can incorporate these tips into your lifestyle to protect your heart:

  • Follow your doctor’s instructions and stay on your medications.
  • Eat a healthy diet that is low in salt, rich in fresh fruits and vegetables, and low in total fat, saturated fat and cholesterol.
  • Take a brisk 10-minute walk, three times a day, five days a week.
  • Do not smoke.

If you still smoke, quit as soon as possible. Jackson Health System offers a free, six-week program at various locations throughout Miami-Dade County. You can call 305-585-5319 or go to click here.

Dr. Zambrano

Dr. Juan Pablo Zambrano is the director of cardiovascular medicine at Jackson South Community Hospital and is board-certified in cardiology, interventional cardiology and nuclear cardiology. He is particularly interested in cardiac and vascular interventions, and carotid and leg interventions to improve circulation, as well as new devices for minimally invasive cardiac and vascular procedures.

Before joining Jackson South, Dr. Zambrano directed the vascular section of the interventional cardiology program at the University of Miami Miller School of Medicine and trained several generations of cardiovascular specialists. He was also part of the UM team for stem cell research in cardiovascular regeneration.

Back to Top

Why Is Breast Health Such an Important Topic?

October is Breast Cancer Awareness Month - the perfect time to learn more about this most common form of cancer among women in the United States (other than skin cancer). Each year, more than 202,000 American women receive the news that they have this frightening, but often treatable, disease. You might be surprised to know that men can get breast cancer too, although it is less common.

What causes breast cancer?

The exact cause of breast cancer remains unknown; however, medical experts attribute certain risk factors such as age, gender, race, family history, genetics and early breast radiation to the development of breast cancer.

Additionally, certain risk factors related to lifestyle may play a role. These include not having children or having them later in life, long-term use of birth control pills and/or postmenopausal hormone replacement therapy, consuming alcohol regularly, smoking, being overweight or obese, and not getting enough exercise.

It's important to note that having one or more of these risk factors does not mean that a person will necessarily develop breast cancer, but that they may be at a higher risk for getting the disease.

How is breast cancer found?

The earlier breast cancer is detected, the better the chances are to treat it successfully.

Beginning in their 20s, women should be told about the benefits and limitations of breast self-exams (BSEs). They should be aware of how their breasts normally look and feel, and report any breast changes to a health professional as soon as they are found. Women with breast implants can also do BSE. It may be useful to have your surgeon help identify the edges of the implant so that you know what you are feeling.

Clinical breast exams (CBEs) are recommended for women in their 20s and 30s. A CBE should be performed by your family doctor or obstetrician every three years for women in this age group and every year for women age 40 and older.

It is recommended that women begin having a mammogram at age 40 and continue doing so every year.

Finding a change in the feel of the breast does not necessarily mean it is cancer, but it should be reported to your healthcare provider immediately.

How is breast cancer treated?

The majority of women who have been diagnosed with breast cancer will have some type of surgery to treat the breast tumor and remove as much of the cancer as possible. Surgical procedures also allow physicians to determine whether the cancer has spread to the lymph nodes under the arm, to restore the breast's appearance after a mastectomy, or to alleviate symptoms of advanced forms of cancer. Your physician will discuss the best options for you.

The most important thing to know is that many forms of breast cancer are treatable, especially when the cancer is found at an early stage. You should not let the fear of breast cancer keep you from getting examined or treated.

Dr. Henriquez

Dr. Henriquez is Director of the Comprehensive Breast Health Center at Jackson South Community Hospital and an Assistant Professor of Surgery at the University of Miami Leonard M. Miller School of Medicine.

Back to Top

Be Aware of Your Mental Health

Almost half of the people who are living with a mental health condition never seek or receive help due to stigma, lack of information, cost or lack of health insurance coverage. Sadly, one in four of those people have a diagnosable situation that can be treated. Sometimes, people are dealing with depression associated with a chronic disease such as cancer, diabetes or hypertension. Traumatic events, such as the loss of a loved one or a natural disaster, can take a huge toll on mental health. But while mental health and substance abuse conditions are common, many are treatable, and individuals go on to recover and lead full and productive lives.

Dr. Juan F. Rios, medical director of psychiatric emergency services at Jackson Behavioral Health Hospital, shares some tips on what to look for in a loved one (or ourselves) that could suggest mental health problems in need of help.

My 72-year-old uncle has really let himself go after the death of my aunt two years ago. He's always too tired to do anything, but insists he's fine. What can we do?

As people age, there are often chronic health conditions, such as arthritis, that make it painful and difficult to get around. Your uncle is probably taking pain medications and maybe something for sleep. Losing his wife was a major trauma added into this mix.

Common symptoms of depression are:

  • Isolation, no support system
  • Hygiene declines
  • Enthusiasm, for everything including eating, is gone
  • Lack of pleasure in former activities
  • Energy is low
  • Irritable when pressed, not the loving person he was
  • Impaired sleep, no matter why

Things you can do right away:

  • Make sure he has a good support system.
  • Keep him engaged with family members.
  • Help him stay in good health with good diet, regular doctor and dental visits, etc.
  • Help him maintain or develop a spiritual core, e.g., take him to church with you.
  • A loving pet can work wonders.

If he doesn't respond - and he refuses to talk to a psychiatrist or mental health professional - try to improve his quality of life with some of the following:

  • Enroll him in a day program at his church or temple, or a senior center.
  • Talk to a doctor about his "cocktail" of medicines.
  • Remove any alcohol from his house.
  • Hire a regular housekeeper or a visiting nurse.

If nothing works and you feel something has to be done, you can bring him to a crisis intervention facility (mental health emergency room) for evaluation, such as the one we have at Jackson Behavioral Health Hospital.

I am a 32-year-old, successful career woman with a 6-year-old child. I have not been myself lately, even to almost arguing with my supervisor and being short-tempered with my child. Should I seek help?

Your situation has become quite common as we try to juggle all of our responsibilities in our complex world. But you realize you have changed and want to do something about it. The success of any treatment depends on our motivation and level of desire to change.

If you haven't established the following habits, they can help you take charge of your emotions and your life.

  • Exercise regularly. Walking is easy, inexpensive and healthy.
  • Go to the beach or the pool.
  • Meditate or do relaxation/breathing exercises.
  • Eat a balanced diet.

There are many tools that can help you. Cognitive behavior therapy can help you learn how to manage your busy life. A low-dose antidepressant can raise your serotonin level, which will help improve your concentration and smooth out rough emotions.

Consulting with a psychiatrist or psychologist is always a good step to take. As mental health professionals, they have the clinical experience to know what is available for you and practical experience from their variety of clients and situations.

Juan Rios, M.D.

Juan F. Rios, M.D., FAPA, is the medical director of psychiatric emergency services at Jackson Behavioral Health Hospital and an assistant professor of clinical psychiatry at the University of Miami Leonard M. Miller School of Medicine. He trains and supervises all residents and observers in the hospital's Crisis Unit and teaches medical students who rotate through the unit.

Dr. Rios lectures on a number of his specialties including depression, anxiety, adolescent and adult ADD/ADHD, suicide prevention, bipolar disorder and psychopharmacology.

 

Back to Top

Can My Child Still Exercise with Asthma?

Asthma can seem like an obstacle to physical activity, especially for those suffering from exercise-induced asthma. Parents of asthmatic children may fear the consequences of activity, especially in Miami's summer heat. The fact is that exercise is vital for a healthy child to become a healthy adult and to avoid the plague of obesity.

According the Centers for Disease Control (CDC), obese adults are 66 percent more likely than adults of normal weight to have asthma. Obesity prevention for asthmatic sufferers starts with an early understanding by parents and children about asthma control and regular exercise.

Summer is here and it is humid in South Florida. You want your child to get outdoors with the confidence that they will be safe from a sudden, detrimental asthma attack. While asthmatic flare-ups may be inevitable, they should never hinder your child's ability to remain active.

Because exercise is undeniably beneficial for both physical and emotional well-being, we asked Holtz Children's Hospital pediatric pulmonologist Dr. Shatha Yousef to dispel possible myths about pediatric asthma, and advise how to keep your child moving.

Myth or Fact: My child has asthma and suffers from exercise-induced symptoms. He/She can't engage in rigorous activity like other kids, especially in this hot, humid climate.

Our role as pulmonologists is to manage and educate children with asthma so they can have as normal a life as possible. While it is a fact that hot and humid air can precipitate airway constriction when a child hyperventilates - as they often do while engaging in exercise - there are ways they can still participate.

We tell our patients:

  • First and foremost, keep your asthma under control; take your medications and follow with your doctor.
  • Use your bronchodilator 15 minutes before your PE class or sports event. A majority of the time, this should keep you from having an attack.
  • If you are also allergic, avoid high-pollen exercise areas, if possible. Watch the environment.
  • If you have a cold, avoid exercise.Make sure you do warm-up exercises before any exertion, and breathe through your nose, not your mouth.
  • Are there any sports that are better for them to play than others?

For children with exercise-induced symptoms, it's sometimes advised to participate in exercise that has short-term periods of exertion, for instance, in swimming, gymnastics and even volleyball where players run and stop. Whereas, sports like soccer and hockey require continuous running and for long distances. The shorter the duration of actual exercise, the better.

Myth or Fact: Medication is the only method for preventing my child's exercise-induced asthma attacks?

This is a myth. Although medications are the key controller for asthma, alternative and complementary methods like yoga can help control breathing and reduce stress. Some studies have shown that it also helps to reduce the number of asthma attacks. Biofeedback can do the same if a person's attacks are triggered by stress.

What advice do you have for any adult or child who feels their asthma is keeping them from physical activity?

We encourage everyone to develop a personal action plan. For example, what happens when they exercise? How do they feel? Do they have "early warning signs" of an asthma attack? We tell them when the symptoms start, "step up." Step up the use of their inhaler; use more of it to control their symptoms. If that doesn't work in the timeframe we teach them, they should seek medical advice right away. They use red/yellow/green coding in their action plan to know ahead of time what things to avoid and what things can be done with caution and awareness.

Shatha Yousef, M.D., is a pediatric pulmonologist with Jackson Health System and the University of Miami Department of Pediatrics. She sees children with asthma and other lung diseases in Jackson's Holtz Children's Hospital's regular and intensive care units, and ambulatory clinics. She also works closely with UM's Program for Pediatric Integrative Medicine, which provides exercise, nutritional, yoga and biofeedback services to children.

Back to Top
ToolsFeedback