Clinical Care
a red abstract design to suggest vascular rings

Vascular rings: A complex cause of noisy breathing

Patients who present with noisy breathing, wheezing, a barking cough, and frequent respiratory infections are often misdiagnosed with asthma or croup, but a more complex problem could be responsible. Such symptoms can signal tracheomalacia (also known as tracheobronchomalacia), a condition in which the airway narrows or collapses when a child breathes. But clinicians should consider ... Read More about Vascular rings: A complex cause of noisy breathing
Patient Stories
Poppy, who has SDS, smiles with her mom

A mother’s quest to find a cure for Shwachman-Diamond syndrome

Poppy Inez Hawkins is a born entertainer. Her favorite song is “Fire” by Kasabian. She loves kitchen disco. And she can frequently be found staging performances in the Hawkins-family living room at their home in London, England — free tickets provided and clapping encouraged. “She talks to everyone and will tell anyone who wants to ... Read More about A mother’s quest to find a cure for Shwachman-Diamond syndrome
Research
bileaflet heart valve expanding to accommodate a growing heart

Someday, this prosthetic heart valve might be the only one a child needs

More than 330,000 children worldwide are born with a heart valve defect, and millions of others develop rheumatic heart disease requiring early valve replacement. Current prosthetic heart valves are fixed in size, so typically need to be replaced every few years as a child grows. For children receiving their first replacement before age 2, that ... Read More about Someday, this prosthetic heart valve might be the only one a child needs
Patient Stories
Anabella, who had a rhabdoid tumor, poses with her older brother, Michael

Anabella’s story: Hope for treating malignant rhabdoid tumors

Watching her deftly maneuver a playground with a huge smile on her face makes it hard to imagine that Anabella Trillo, 3, once faced challenges far greater than a jungle gym. In fact, she has already endured surgery, radiation, chemotherapy, and a stem cell transplant for one of the most aggressive pediatric cancers: a malignant rhabdoid ... Read More about Anabella’s story: Hope for treating malignant rhabdoid tumors
Patient Stories
emma stands at a window durong a checkup for her laryngeal cleft

Taking charge: Emma perseveres with laryngeal cleft

Emma Morris is “a pistol,” says her mother, Sarah. “She’s a spitfire, passionate and caring.” But the 11-year-old gets anxious, too — and for an understandable reason. She’s been in and out of the hospital since she was a newborn. In fact, Sarah estimates that her daughter has spent more than 400 nights at Boston ... Read More about Taking charge: Emma perseveres with laryngeal cleft
Clinical Care
Dr. Kristen Leeman examining a newborn in the NICU

How do you implement change? Lessons from a QI project in the NICU

Kristen Leeman, MD, is Director of Quality in the Division of Newborn Medicine and Associate Medical Director of the Neonatal Intensive Care Unit at Boston Children’s Hospital. What if you were taught to do things a certain way, the way things were always done, and then a randomized clinical trial comes out supporting a different ... Read More about How do you implement change? Lessons from a QI project in the NICU
Research
teens holding hands

CRUSH: Developing a sexual education program for young adults on the autism spectrum

For many young adults on the autism spectrum, developing and maintaining positive intimate relationships can be challenging. But collaboration between Boston Children’s Hospital and UMass Boston hopes to provide some on-point guidance through a new initiative¾the Competence in Romance and Sexual Health (CRUSH) program, aimed at developing a new sex education curriculum for young adults ... Read More about CRUSH: Developing a sexual education program for young adults on the autism spectrum
Health and Parenting
Heart emerges in a maze of colorful lines

Relationship talks: Staying together through a child’s illness

Among the many stresses of having an ill or injured child, parents often feel a strain on their marriage. Whenever she can, clinical social worker Katherine Preston, LICSW, reassures families that a child’s illness does not automatically spell the end of the parents’ relationship. Based on studies of families facing childhood cancer and diabetes, Preston ... Read More about Relationship talks: Staying together through a child’s illness
Research
graphic of child holding head in front of neon color splash

Migraine prevention in children and teens: Weak support for medication

Several medications successfully treat an active migraine. But a review of the medical literature from Boston Children’s Hospital finds only weak evidence that drug treatment prevents migraine in children and adolescents. Only two medications — topiramate and propranolol — showed any difference in preventing migraine in this age group compared with a placebo. Joe Kossowsky ... Read More about Migraine prevention in children and teens: Weak support for medication