Amir Taghinia, MD

As a child, Amir Taghinia, MD, was fascinated by the mechanics behind how things worked.

“I was always taking things apart and trying to fix them,” says Taghinia, surgical director of Boston Children’s Hospital’s newly launched Hand Transplant Program. “I ruined more than one toy truck back in the day, but it never upset me much. For me, the excitement of seeing how the individual parts worked together, and the challenge of trying to re-create it, was more fun than the toy anyway. ”

It’s a fascination that would stay with Taghinia from grade school to medical school, where he focused his studies on plastic surgery, taking specific interest in the hand. With more than 25 bones, 20 tendons, three major nerves and multiple veins and arteries, the human hand is one of the more intricate parts of our anatomy, making it the perfect field of study for Taghinia’s interests.

But Taghinia’s reverence for the hand is more than just an appreciation for its complex makeup and functional use—he views our hands as an extension of our personalities. Full story »

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When feeling stressed out by the hectic pace of modern life, it’s easy to get wistful for the carefree days of youth—when it seemed the only thing we had to worry about was getting along with the other kids in the neighborhood.

But according to a first-of-its-kind report from the Centers for Disease Control and Prevention on childhood mental health, those days are gone or may never even have existed for a huge portion of America’s children.

Analyzing data collected over the past six years, the report shows that millions of kids—as many as one in five—are currently living with some form of mental health disorder. Attention deficit disorder is the most prevalent condition reported, affecting more than 4 million kids nationwide, but other behavioral issues such as anxiety and depression also were heavily documented, affecting 2.2 and 1.8 million children respectively.

While it’s unclear whether or not the numbers in the report mean that these conditions are really more common in kids today, or if parents, clinicians and teachers are just getting better at identifying them, the bottom line is clear: the issue of mental health disorders in American children is too big to ignore. Full story »

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Drowning Can Happen to Anyone–Including Your Child

by Claire McCarthy on June 12, 2013

Dr. Claire McCarthy is a primary care physician and the Medical Communications Editor at Boston Children’s Hospital. Along with her blogs here on Thriving, you can find her at the Huffington Post and Boston.com. Follow her on Twitter @drClaire.

When I was a child, something happened to friends of our family that changed how I thought about water safety forever.

The mother took her 3-year-old daughter to the beach near their house. She sat on the sand while her daughter played nearby—and somehow, inexplicably and tragically, she fell asleep. When she woke up, her daughter had drowned.

Tragedies like these happen to other people, we often think. It wouldn’t happen to us. Especially something like drowning, because that seems so simple to prevent. Go to places with lifeguards. Make sure your children can swim. Keep an ear out for shouting or splashing. Glance at the water regularly.

The problem is, none of that’s enough.

I should say that I love the water. I grew up on the north shore of Long Island and spent much of my childhood in or near water. I still spend a lot of time in or near water, as do my children—none of us can imagine anything different. But as much as I love water, I also respect and fear it.

It’s a sunny day. You and your daughter had a bad night—she kept waking up with an earache—and you are both exhausted and cranky. After lunch, you decide to take her to the beach for a few minutes. It’s spring, too cool for swimming, there won’t be other kids to play with, but she loves it there. It will cheer you both up.

Two summers ago, in a public pool south of Boston with plenty of lifeguards, a woman slid to the bottom of the pool and drowned. There were people all around her, but the water was so murky that nobody saw her. That may seem like an extreme case, but actually, people drown with lifeguards present all the time. It’s easy for lifeguards to be distracted by other swimmers, by conversation or by the myriad of things that can distract anyone.

You brought a chair to the beach, and you sit down in it with your daughter nearby. Together, you build a sandcastle. She gets up and walks toward the water, looking for seashells. Remember, you tell her, don’t go near the water. She comes back, sits and puts seashells on the castle. The sun is so warm on your face; you lean back in the chair, closing your eyes as you listen to the surf and to the sound of your daughter playing next to you. This was such a good idea, you think.

My youngest two, heading into the water

Once I got caught in a rip current, or something like it. I suddenly found myself further out than I expected, and it was hard to swim back in. Luckily, I was not only a good swimmer, but I knew what to do: swim parallel to shore until I could swim back in. But not everyone is so lucky—and good swimmers get tired, hit their heads or get tossed by waves and lose their bearings.

What many people don’t realize, too, is that drowning can be very silent. When a drowning person makes it to the surface, they don’t scream or flail—they take the biggest breath they can before they drop below the surface, and it may be less than a minute before they don’t come up again (to learn more, check out the great post, Drowning Doesn’t Look Like Drowning by Mario Vittone).

According to the Centers for Disease Control and Prevention (CDC), most young children who drown in pools were last seen inside the house, had been out of sight less than five minutes and were in the care of one or both parents at the time.

You open your eyes. You feel odd. Could you possibly have fallen asleep? No—you couldn’t have done that. You wouldn’t have done that. You look next to you—your daughter isn’t there. Panic rises in your throat as you jump to your feet and look frantically around you, screaming your daughter’s name. You run to the water—and see her, a few feet out, under the water, motionless.

This could happen to anyone. Including you.

Here’s what the CDC says you should do to prevent drowning:

  • Learn life-saving skills. Everyone should learn to swim. Grownups (and older teens) should learn CPR.
  • Fence it off.  Pools should have fences that go completely around them, separating them from house or play areas, and have self-latching and self-locking gates.
  • Use life jackets. The CDC suggests that children wear life jackets near any natural body of water, like a lake or ocean. They can help weaker swimmers in pools, too.
  • Be on the lookout. When kids are in or near water (including the bathtub), an adult should be supervising them. Like staring at them. Not reading a book or sunbathing or otherwise multitasking. Staring at them.

 

 

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James Mandell, MD, CEO

U.S.News & World Report ranks pediatric hospitals according to 10 individual specialties. This year we are ranked #1 in more specialties than any other pediatric hospital, including Cardiology & Heart Surgery, Diabetes & Endocrinology, Gastroenterology, Neonatology, Nephrology, Neurology & Neurosurgery and Urology. We are ranked #2 in Cancer, #4 in Pulmonology and #8 in Orthopedics.

As important as these rankings are to families and referring physicians, they are just as important to us, serving as an inspiration to keep striving to be the best. To be consistently listed at the top of the U.S.News rankings is a tribute to the extraordinary work our staff does on a daily basis, and I’d like to take this opportunity to thank every member of the Boston Children’s community for their continued effort to work tirelessly until every child is well.

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FDA regulations make medical innovation a waiting game

by Tripp Underwood on June 10, 2013

Medical research is not a field for people who like instant gratification. There are long waits as cultures grow, proteins crystallize and cells divide. And when a discovery finally becomes something tangible, like a medication, it can still take years of testing and government approvals before a patient can benefit from it.

But what happens when a life is at stake and time is a luxury the patient simply cannot afford?

That is the question asked by NBC News’ Rock Center in a recent piece they did on Boston Children’s Hospital surgeon, Mark Puder, MD, PhD. Puder has help develop a potentially life saving drug called Omegaven, which he’s been using to help reverse fatal liver disease in infants. However, despite the drug’s effectiveness in Puder’s patients, the Food and Drug Administration has yet to approve its use nationwide.

Visit NBCNews.com for breaking news, world news, and news about the economy

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Why I Am a Terrible School Parent

by Claire McCarthy on June 7, 2013

Dr. Claire McCarthy is a primary care physician and the Medical Communications Editor at Boston Children’s Hospital. Along with her blogs here on Thriving, you can find her at the Huffington Post and Boston.com. Follow her on Twitter @drClaire.

I am so proud of myself. Not only did I actually manage to sign up to buy sunglasses for the themed group gift for my son’s first-grade teacher, but I bought them and got them to the room parent (well, OK, my husband helped with that last part). This was a real accomplishment, because I am a terrible school parent. Full story »

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By Justine Cadet

Oftentimes children are cautioned against growing up too quickly; however, researchers may have uncovered a genetic cause for the small subset of boys and girls who physically undergo puberty at uncharacteristically young ages.

Precocious puberty, which is defined by the development of secondary sexual characteristics before 8 years in girls and 9 years in boys, has been associated with an increase in conduct and behavioral disorders during adolescence. The disorder affects more girls than boys, and is becoming more common, although the reasons for this are unclear.

Recently, the media has questioned whether puberty is starting earlier, even in those children without this condition. And a 2011 study by the American Academy of Pediatrics (AAP) followed American girls of various ethnicities, locations and backgrounds, and demonstrated that by 7 years old, more than 10 percent of Caucasian girls and 23 percent of African-American girls showed signs of breast development, indicating that puberty has begun. Full story »

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Are parents’ prescriptions poisoning kids?

by Guest Blogger on June 5, 2013

By Scott Howe

Every parent knows how hard it can be to keep their prescription drugs safely away from their children. But with the increase in adult prescription drugs in the home, that problem is getting harder to manage. Today, more and more young kids are accidentally taking their parents’ pills, and more and more teens are intentionally raiding the medicine cabinet. This has led to rising rates of poisonings in children, according to a study published in the July 2013 issue of Pediatrics. (Adult Prescription Drug Use and Pediatric Medication Exposures and Poisonings)

Two of the study’s authors, Lindsey C. Burghardt, MD, and Florence T. Bourgeois, MD, MPH, became interested in the subject based on their real-life experiences as pediatric emergency medicine doctors at Boston Children’s Hospital. Burghardt reports that they noticed what seemed to be an increase in children and adolescents coming to the emergency room who had been poisoned by prescription medications. “When we began to research the problem of pediatric medication poisonings, we learned that adult prescriptions are also increasing.  We began to wonder if these things were related.” Full story »

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