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Pediatrician and child
Because childhood should be simple ...

From the HeART

Physician Perspective

At Cook Children's, our doctors work hard to keep our promise to improve the health of every child in our region. In these articles you'll be able to read about their latest thoughts on helping you keep your child healthy.

Thanksgiving On Call
Joel W. Steelman

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I wrote a post last year for Cook Children’s Facebook page about some of my family’s favorite Thanksgiving Holiday dishes. This year, I’ll be on call during Thanksgiving week, which for me means long days and an unpredictable schedule. The Thanksgiving and Christmas holidays are a special time when I really make an effort to cook for family as it allows me to spend precious time with them--and I truly enjoy cooking!

Vitamin D – new discoveries in an old vitamin
Joel W. Steelman

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While at the beach, the idea of writing about the importance of vitamin D crossed my mind. As a fair skinned person, I learned quickly that sunscreen is the only thing that stands between me and a painful sunburn. Though sunscreen is great to prevent sunburn, sun-related skin damage, and skin cancer, it does have the negative effect of slowing down the production of essential vitamin D that all humans make with sunlight exposure.

Out of the Pool, Back into School
Joel W. Steelman

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Though water safety is not a primary focus in my life as a pediatric endocrinologist: as the father of a young child, a pediatrician, and advocate for all children; I feel a responsibility to emphasize safety and accident prevention. The pediatric community, as well as most of the public at large, is aware that the incidence of childhood drowning spikes during summer months.

The Diagnosis Is Skin Deep
Joel W. Steelman

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It may be surprising to learn that examination of the skin, which is the human body's largest organ, or fingernails can reveal a wealth of information about a patient's case in endocrinology.

Swimmer's Ear
Frank J. Sloan

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There was a reason why your mother used to make you dry your ears when you got out of the pool or shower. Water sitting in your ears is the perfect environment to allow bacteria and fungus to grow.

Domestic Violence and the Baby Moses Law
Frank J. Sloan

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The plight of missing infant Daisja and abandoned “Baby Bella” has captured our attention and hearts. Unfortunately, these stories are just the most recent examples of two tragic problems that occur in our community: domestic violence and newborn infant abandonment.

For Parents of Children with Type 1 Diabetes
Joel W. Steelman

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Children with type 1 diabetes and their families require comprehensive healthcare and support from a team of specialists, working in concert, that includes a pediatric endocrinologist, a dietician, a pediatric nurse practitioner, and a nurse diabetes educator.

School Stress by Lisa Elliott, Ph.D.

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It is quite normal for any child or adolescent to experience some degree of stress and anxiety before a new school year starts. Generally this anxiety is associated with not knowing what to expect and/or due to a new environment.

MAGIC of Families
Joel W. Steelman

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Information, support, and advocacy make a huge difference in the quality of care that I am able to provide to children and their families.

Quest for the Happy Meal™ Toy
Joel W. Steelman

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I learned a few things from all my trips to McDonalds, besides the extra calories from portions of Kate’s uneaten Happy Meals™. I had the opportunity to view McDonald’s from the standpoints of parent, patron, and pediatric doctor.

Jumping on Childhood Obesity
Joel W. Steelman

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There’s a business near our house that has multiple rooms full of all kinds of bounce houses. While bouncing and/or sliding for nearly 2 hours of sweaty, laughing fun with my daughter, I started thinking about the importance of exercise and activity in preventing obesity in children.

Curious Case of Caster Semenya
Joel W. Steelman

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Pediatric endocrinology has a strong presence in medical fact finding and decision making in cases like Caster Semenya’s. Disorders of sex development (DSD) is the medical term that refers to individuals who don’t clearly classify as male or female. Evaluation and management of Disorders of Sex Development has become a hot topic.

October is Diabetes Month
Joel W. Steelman

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October is shaping up to be a diabetes month for me. I had several challenging hospital cases of newly diagnosed diabetes at the very beginning of this month, and I’m preparing for two events at the end of the month.

Childhood Cancer Survivors
Joel W. Steelman

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Endocrinology has a lot to offer childhood cancer survivors. The effects of chemotherapy and radiation treatments used to cure cancers can damage several endocrine systems in the body and lead to multiple consequences.

Diabetes: Brains Required
Joel W. Steelman

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CGMS continues to be an expanding tool in diabetes care. There have been a couple of recent articles in the journal Diabetes Care covering use of CGMS. The first article reported successful use of CGMS in adults with type 1 diabetes. The second article looked at factors that predicted consistent use of CGMS technology.

What Mountains will You Climb in 2010?
Joel W. Steelman

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Motivational interviewing has been advocated by many, including the American Academy of Pediatrics, as a tool in management of lifestyle changes in childhood obesity. I think it is very powerful to combine dietary education goal setting in motivational interviewing as an initial step.

Incidence of Type 1 Diabetes Doubles in 20 Years
Joel W. Steelman

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Mr. Hurley's book highlights important diabetes medical research from the past several years including research reported as recently as 2009. A trend of increasing incidence of type 1 diabetes has been recognized both in the US as well as worldwide.

Anemia
Donald Beam

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One of the most common reasons for referral to a hematologist is due to anemia. While the diagnosis is frequently surprising, the cause is usually not. Ordinarily, the diagnosis can be suggested by examining the red blood cell (RBC) indices provided on the CBC.

Benefits of Cystic Fibrosis Newborn Screening in Texas

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Currently, there are approximately 30,000 people in the USA affected by CF with more infants diagnosed in recent years through implementation of CF newborn screening programs across the country.

Recap 2009: Lessons from my Wife
Joel W. Steelman

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2009 was a memorable year for me and my family. For one reason, I started this blog column which has not only been a fun, new learning experiece, but has also provided me with the added pleasure of having my wife, Julie, collaborate with me.

Persistent Organic Pollutants and Diabetes
Joel W. Steelman

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The effects of environmental chemicals (both natural and human-produced) are of great concern within the endocrine community today. I decided to review the current information about this growing problem more closely, and share my impressions with you.

Lymphadenopathy
Kenneth M. Heym

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Enlarged lymph nodes are commonly found in children during sick and well visits. In most cases, the enlarged nodes will be of a benign etiology, but can be due to malignancy which will require prompt evaluation and intervention.

The Role of a Pediatric Endocrinologist in Childhood Brain Tumor Treatment
Joel W. Steelman

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Learn about childhood brain tumors and the role of pediatric endocrinology within our team of specialists that care for children with brain tumors.

Recent News on Childhood Obesity
Joel W. Steelman

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Lately, there seems to be a flurry of news reports about childhood and adult obesity and new information about links between the two. The topic is certainly on my 'radar screen.'

What Should I Do if I'm Alone with a Child Who Has a Seizure?
Howard Kelfer

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Don't panic! If you see your child (or any child) convulsing, take a deep breath. It's more important that you remain calm.

Paths We Choose
Joel W. Steelman

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Direction-not intention-determines our destination. This single sentence, I believe, illuminates a very powerful key life lesson. There are paths we follow in our lives that have somewhat predictable outcomes. The decisions we make, about how we live, whether conscious or unconscious, move us toward or away from these predictable outcomes.
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