Tiny Patients, Extraordinary Care: The Life-Changing World of Pediatric Surgery
After more than two decades operating on children, first during my fellowship and now in clinical practice in South Florida, I have become r

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@drcolinknight
Tiny Patients, Extraordinary Care: The Life-Changing World of Pediatric Surgery
After more than two decades operating on children, first during my fellowship and now in clinical practice in South Florida, I have become r

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Know how to handle this nightmare in-flight scenario.
Parenting often becomes a balancing act between worrying too much and trusting your instincts. While most childhood illnesses are minor and
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Moonbows
A moonbow, also known as a lunar rainbow or white rainbow, is a rainbow created by moonlight rather than sunlight. It's formed when light from the moon refracts and reflects off water droplets, like those in rain or mist, creating a visible arc of light in the sky. Moonbows are generally fainter and less colorful than regular rainbows, and they are much rarer due to the need for specific conditions like a full or near-full moon, clear skies, and dark skies.
Still Can...
Arches National Park, Utah photo: Elliot McGucken
How Pediatric Surgeons Are Rewriting What's Possible in the Operating Room
When Dr. Michael Harrison first attempted fetal surgery in 1981, many colleagues thought he'd lost his mind. Operating on a baby still in the womb seemed like science fiction, not medicine. Today, that "impossible" procedure has saved thousands of lives and represents just one chapter in the remarkable evolution of pediatric surgery.
The field of pediatric surgery exists at the intersection of cutting-edge technology and profound human compassion. These specialists don't just operate on smaller versions of adultsâthey work with completely different anatomical landscapes, healing processes, and psychological needs. A newborn's organs are still developing, their tissues heal differently, and their tiny bodies respond to anesthesia and medications in ways that would surprise most adult surgeons.
Consider the complexity of separating conjoined twins, a procedure that captures public imagination but represents just a fraction of what pediatric surgeons accomplish daily. These operations require months of planning, teams of dozens of specialists, and surgical precision measured in millimeters. The 2017 separation of conjoined twins Jadon and Anias McDonald took 27 hours and involved more than 40 medical professionals. But for every headline-grabbing case, there are hundreds of quieter miracles happening in pediatric operating rooms worldwide.
Take minimally invasive surgery, which has revolutionized pediatric care in ways most parents never see. Surgeons now routinely perform complex procedures through incisions smaller than a pencil eraser. A child who once would have faced weeks of recovery from open-heart surgery might now go home in days thanks to catheter-based interventions. Appendectomies that once left permanent scars now require only tiny punctures that fade to invisibility.
The psychological dimension of pediatric surgery adds layers of complexity that adult surgeons never encounter. How do you explain an upcoming operation to a four-year-old? How do you maintain a child's trust while causing necessary pain? Pediatric surgeons have become masters of communication, using everything from medical play therapy to virtual reality to help young patients understand and cope with their procedures.
Perhaps most remarkably, pediatric surgeons have learned to harness children's natural healing abilities. Unlike adults, children's bodies are primed for growth and repair. Bones heal faster, tissues regenerate more completely, and scars fade more thoroughly. This biological advantage allows pediatric surgeons to attempt repairs that would be impossible in adult patients.
The field continues pushing boundaries in ways that sound like science fiction. Surgeons are now performing operations on babies weighing less than a pound, using instruments so delicate they're measured in fractions of millimeters. Three-dimensional printing allows surgeons to practice complex procedures on exact replicas of a child's anatomy before entering the operating room. Robotic surgery provides precision that surpasses human hands, while telemedicine brings pediatric surgical expertise to remote corners of the world.
But technology alone doesn't explain the magic of pediatric surgery. These specialists possess a unique combination of technical mastery and emotional intelligence. They must be precise enough to operate on hearts the size of walnuts and gentle enough to comfort a frightened child. They celebrate victories measured not just in successful procedures, but in children who grow up to play soccer, graduate from college, and become parents themselves.
The next time you see a child running across a playground, remember that some of those children are living miracles of modern pediatric surgery. Behind every laugh, every game of tag, and every bedtime story might be a surgeon who refused to accept that something was impossible, who saw potential where others saw only problems, and who dedicated their career to ensuring that childhood dreams could still come true, regardless of the medical challenges that tried to stand in the way.
Rising Stars: Meet Colin Knight of South Miami
Today weâd like to introduce you to Colin Knight
Hi Colin, so excited to have you with us today. What can you tell us about your story? I moved to South Florida in 2007 after finishing training as a pediatric surgeon.
While I was a resident, I spent a year âin the lab.â That means I stepped out of clinical training to do research. I spent the year in Detroit, at the Childrenâs Hospital of Michigan, working on developing novel applications of surgical robots. Specifically I developed techniques and models to explore fetal surgery and microsurgery using surgical robots.
Since I didnât have to take call in the hospital during my research time, I enrolled for some photography classes at the College for Creative Studies. I enjoyed the open-ended assignments and participating in critiques where I could see how everyone else interpreted the projects. Unlike my science classes, there were no right or wrong answers. Through these classes I participated in a couple of exhibitions and I entered some of my work in an art contest and surprised myself by winning $100 with one of my photos.
When I returned to clinical training which entailed working eighty to one hundred hours a week, I had to put the photography aside. When I moved to Miami, I purchased my first ârealâ digital camera. Occasionally I participated in workshops in the area. One of those workshops, held at Fairchild and taught by Pedro Lastra, led to my first published photograph. I entered a contest at Fairchild looking for art for their calendar. I didnât land a calendar page, but they asked to use one of my photos for their gala invitation that year.
I realized I was pretty good taking photos of landscapes and objects, but I didnât think I was terribly good a photographing people. I decided to teach myself studio lighting and started reaching out to models in the area to get more experience shooting people. This led to me shooting my first wedding: a lovely event on a rooftop in Havana.
At the time the pandemic started, I arranged private lessons with Matt Stock who teaches photography at Ransom Everglades. Under his tutorage I assembled a portfolio, applied for, and accepted a position in the MFA program at Barry University. Four years later, Iâm taking my last class and getting ready to embark on my thesis project. Under the guidance of the faculty at Barry Iâve learned more about both black and white and color film photography, alternative processes, and digital photography. Iâve now seen my art exhibited in galleries around the state and country, more photos published, and, recently, some work on display at a local museum. And a few more pieces have gone on to win prizes at juried shows.
Medicine has a high burn-out rate and doctors have a suicide rate double that of the general population. I have a theory that doctors who have creative outlets in the humanities are better equipped to deal with the stress of their work. I hope to couple my love of art with my career in medicine by working with a medical school to grow a humanities in medicine program.
Would you say itâs been a smooth road, and if not what are some of the biggest challenges youâve faced along the way? The training process to become a surgeon is overwhelming. Long hours, nights and holidays spent in the hospital, total exhaustion while trying to provide quality care for the sick and injured are all challenging. That being said, being used to repetitive task while tired prepared me well for the struggles of learning new artistic techniques. Cyanotype is one of the oldest photographic processes. Itâs probably most commonly known for making the blue in blueprints. It turns out that under different chemical conditions, the blue in cyanotypes can be changed to different colors. Iâm colorblind so I am interested in the process of color separations used in printing. I recently spent months trying to combine multiple layers of cyanotype in images to make what has traditionally been a monochrome process a multicolor one. Many hours and much frustrations finally led to one of two acceptable images.
As you know, weâre big fans of you and your work. For our readers who might not be as familiar what can you tell them about what you do? Iâm most interested in alternative process photography. That term encompasses using historic or experimental new process to get an image from the camera onto paper. These techniques frequently involve mixing your own light-senstivie chemicals to coat paper and make prints. In an era everyone carries a photo studio in their pockets, being able to make unique, hand-crafted photographs is special. The piece that I am most proud of was a conceptual work. I had been thinking about how powerful labels are whether we apply them to ourselves or others apply them to us. I took a series of x-rays of my hands that spelled out my name in American Sign Language. I then superimposed the text of a short poem on this series of images. That work won a best of show award at one exhibition and was included as a winner in the annual alternative process photography contest at the Soho Photo Gallery in New York City.
Risk taking is a topic that people have widely differing views on â weâd love to hear your thoughts. I think partially because I have a career that routinely exposes me to people who have had bad things happen to them because of risky behaviors, I am not much of a risk taker. That being said, I do like trying new things and I will put aside my discomfort with risk to try novel activities like canyoning or doing a night dive.
Contact Info:
Website:Â https://drcolinknight.com
Instagram:Â https://www.instagram.com/cgk305
Facebook:Â https://www.facebook.com/colin.g.knight
LinkedIn:Â https://www.linkedin.com/in/dr-colin-knight/

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Caring for a cleft lip and palate child requires patience, understanding, and a multidisciplinary approach to address their unique needs. A
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Steps to Take If You Think Your Child Is Having Trouble Hearing
Steps to Take If You Think Your Child Is Having Trouble Hearing https://ift.tt/0nFYxhJ As a parent, noticing signs that your child may be having trouble hearing can be concerning. However, taking proactive steps to address the issue is crucial for your childâs development and well-being. If you suspect that your child is experiencing hearing difficulties, here are some steps you can take to address the situation effectively: Observe Signs of Hearing Difficulty: Pay close attention to your childâs behavior and communication skills. Signs of hearing difficulty in children may include not responding when called, speaking loudly, frequently asking others to repeat themselves, misunderstanding directions, and exhibiting speech and language development delays. Schedule a Hearing Screening: If you suspect your child is having trouble hearing, speak to your childâs pediatrician about scheduling a hearing screening. Your pediatricain may be able to do it, or may refer you to a specialist. Hearing screenings are quick, painless tests assessing your childâs ability to hear different sounds and frequencies. Seek Professional Evaluation: If the hearing screening indicates a potential hearing problem, itâs essential to seek further evaluation from a pediatric audiologist or otolaryngologist (ear, nose, and throat â ENT â specialist). These professionals can conduct more comprehensive assessments to diagnose the extent and nature of your childâs hearing loss. Consider Early Intervention Services: If your child is diagnosed with hearing loss, early intervention services can be crucial in supporting their development. These services may include speech therapy, auditory training, hearing aids, cochlear implants, and educational support tailored to your childâs needs. Educate Yourself: Take the time to educate yourself about hearing loss and its impact on your childâs life. Learn about available treatments, communication strategies, and resources that can help support your childâs development and well-being. Create a Supportive Environment: Create a supportive and inclusive environment for your child at home and in their community. Communicate openly with your child about their hearing loss and encourage them to advocate for their needs. Provide opportunities for them to interact with peers and participate in activities that promote socialization and self-confidence. Stay Engaged with Healthcare Professionals: Stay engaged with your childâs healthcare professionals, including audiologists, speech therapists, and educators. Attend follow-up appointments, ask questions, and collaborate with them to develop a comprehensive care plan for your child. Advocate for Your Child: Advocate for your childâs needs within educational settings, healthcare systems, and community organizations. Work closely with teachers, school administrators, and other professionals to ensure your child receives the support and accommodations they need to succeed academically and socially. The post Steps to Take If You Think Your Child Is Having Trouble Hearing first appeared on Dr. Colin Knight | Pediatrics | Miami, Florida. via Dr. Colin Knight | Pediatrics | Miami, Florida https://ift.tt/MKo4g7B October 23, 2024 at 08:09AM

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Diagnosing Diabetes in Children: Key Considerations
Diagnosing Diabetes in Children: Key Considerations https://ift.tt/gwRrbJQ Diabetes, a disease where the bodyâs ability to produce or respond to insulin is impaired, is a serious and increasingly common condition affecting children worldwide. Insulin, a hormone, is critical for the body to correctly manage sugar. While it may seem daunting to consider the possibility of your child having diabetes, early diagnosis, and management are crucial for their health and well-being. Understanding the critical considerations in diagnosing diabetes in children can help parents and caregivers navigate this process with confidence and clarity. Recognizing Symptoms: One of the first steps in diagnosing diabetes in children is recognizing the signs and symptoms. These include increased thirst and urination, unexplained weight loss, fatigue, irritability, and blurred vision. If you notice any of these symptoms in your child, itâs essential to seek medical attention promptly. Family History: A family history of diabetes can increase a childâs risk of developing the condition. If there is a family history of diabetes, itâs essential to monitor your childâs health and discuss any concerns with their healthcare provider. Routine Screening: Children who are overweight or obese, as well as those with other risk factors, such as a family history of diabetes or specific ethnic backgrounds, may be screened for diabetes during routine medical appointments. Screening typically involves blood tests to measure blood glucose levels, including fasting blood sugar, random blood sugar, and oral glucose tolerance tests. HbA1c Testing: Hemoglobin A1c (HbA1c) testing is another essential tool for diagnosing diabetes in children. This blood test provides an average of a personâs blood sugar levels over the past two to three months. Elevated HbA1c levels may indicate diabetes or pre-diabetes and can help healthcare providers assess a childâs risk and manage their condition accordingly. Type 1 vs. Type 2 Diabetes: Itâs essential to distinguish between Type 1 and Type 2 diabetes when diagnosing children. Type 1 diabetes is an autoimmune condition in which the bodyâs immune system attacks and destroys insulin-producing beta cells in the pancreas. In Type 2 diabetes, the cells of the body donât respond normally to insulin. Type 2 diabetes is often associated with lifestyle factors such as obesity and physical inactivity. While Type 1 diabetes is more common in children, the prevalence of Type 2 diabetes in youth is increasing. Comprehensive Evaluation: Diagnosing diabetes in children requires a thorough evaluation by a healthcare provider, including a physical examination, medical history, and laboratory tests. This evaluation helps determine the type of diabetes, assesses the childâs overall health, and guides treatment decisions. Multidisciplinary Approach: Managing diabetes in children often requires an interdisciplinary approach involving healthcare professionals such as pediatricians, endocrinologists, dietitians, and diabetes educators. Together, these professionals can provide comprehensive care, including medical management, nutritional counseling, and support for the child and their family. Resources: There are many resources online as well as special, in-person programs such as camps for children with diabetes. The post Diagnosing Diabetes in Children: Key Considerations first appeared on Dr. Colin Knight | Pediatrics | Miami, Florida. via Dr. Colin Knight | Pediatrics | Miami, Florida https://ift.tt/wyrjpkG September 18, 2024 at 10:14AM
Top Recommended Vitamins for Children
Top Recommended Vitamins for Children https://ift.tt/W2BtECq Ensuring your child receives adequate vitamins and minerals is crucial for their growth, development, and overall health. While a balanced diet is the best way for children to obtain essential nutrients, sometimes it can be challenging to meet all their nutritional needs through food alone. Thatâs where vitamins and supplements can play a role in filling in the gaps. Here are some of the top recommended vitamins for children: Vitamin D: Known as the âsunshine vitamin,â vitamin D is essential for bone health, immune function, and overall growth. Children often donât get enough vitamin D from sunlight alone, especially if they spend most of their time indoors or in areas with limited sunlight. A vitamin D supplement can help ensure your child maintains optimal levels of this crucial vitamin. Vitamin C: Vitamin C is well-known for its immune-boosting properties, helping to support the bodyâs natural defense system against infections and illnesses. It also plays a role in collagen production, essential for healthy skin, bones, and blood vessels. Encourage your child to consume vitamin C-rich foods such as citrus fruits, strawberries, and bell peppers, or consider a supplement if their intake is insufficient. Vitamin A: Vitamin A is essential for vision, immune function, and cell growth. It is abundant in sweet potatoes, carrots, spinach, and dairy products. However, if your childâs diet lacks these foods, a vitamin A supplement can help bridge the gap and support their overall health. Vitamin B12: Vitamin B12 is crucial for nerve function, red blood cell production, and DNA synthesis. While vitamin B12 is primarily found in animal products such as meat, fish, and dairy, vegetarian and vegan children may be at risk of deficiency. In such cases, a vitamin B12 supplement or fortified foods can ensure that they meet their daily requirements. Omega-3 Fatty Acids: Omega-3 fatty acids, particularly EPA and DHA, play a vital role in brain development and cognitive function. They are found in fatty fish such as salmon, mackerel, and sardines. However, if your child doesnât consume fish regularly, consider giving them a fish oil supplement to support their brain health. Iron: Iron is essential for producing hemoglobin, which carries oxygen to various body parts in the blood. Iron deficiency can lead to anemia, fatigue, and impaired cognitive function. Ensure your child consumes iron-rich foods such as lean meats, beans, fortified cereals, and spinach. If needed, a pediatrician may recommend an iron supplement. Probiotics: Probiotics are beneficial bacteria that support digestive health and strengthen the immune system. They can be helpful for children who experience digestive issues such as constipation or diarrhea. Probiotics are available in supplement form or naturally found in fermented foods like yogurt, kefir, and sauerkraut. The post Top Recommended Vitamins for Children first appeared on Dr. Colin Knight | Pediatrics | Miami, Florida. via Dr. Colin Knight | Pediatrics | Miami, Florida https://ift.tt/ViaIZ90 August 23, 2024 at 03:52PM