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  • Locations
    Stories Research Get Involved Events Publications Health Safety Health Library Ask Your Nurse Videos Safety Store at Rady Children s Rethink Your Drink Injury Prevention Growing Up Columns Locations Main Campus Satellite Locations Emergency Urgent Care Programs Services Autism Discovery Institute Locations Autism Discovery Institute Locations Autism Discovery Institute Team Services Research Alexa s PLAYC School Program Diagnostic Treatment Center Hospital Visit Tips Events and Tours For Professionals Parent Education Newsletter ASD Resource Guide Get Involved Locations Locations Autism Discovery Institute Map it 3685 Kearny Villa Rd San Diego CA 92123 858 966 7453 858 966 8011 fax Developmental Evaluation Project ImPACT Parent Child Developmental Behavior Therapy PC DBT Autism Behavioral Services Social Skills Groups Occupational Therapy Speech Therapy Developmental Behavioral Pediatrics Alexa s PLAYC Map it 3685 Kearny Villa Rd San Diego CA 92123 858 966 8555 Toddler Inclusion Services Child Care Preschool Preschool Inclusion Services Oceanside Map it 3605 Vista Way Suite 201 Oceanside CA 92056 858 966 7453 858 966 8011 fax Project ImPACT Parent Child Developmental Behavioral Therapy PC DBT Autism Behavioral Services Occupational Therapy Physical Therapy Speech Pathology Solana Beach Map it 667 San Rodolfo Drive Suite 126 Solana Beach CA 92075 858 966 7453

    Original URL path: http://www.rchsd.org/programs-services/autism-discovery-institute/locations/ (2015-03-26)
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  • Frequently Asked Questions
    tests should be performed for diagnosis and planning for patients with brachial plexus palsy A The most important test is a careful physical examination This information compared with prior or future examinations is the most important piece of information Magnetic resonance imaging MRI studies of the neck area can be performed but should be reserved for preoperative planning if specific questions exist prior to undertaking possible nerve surgery Similarly electromyography EMG can be helpful at times but can also be misleading Physical examination remains the most critical of all the tests Q What can be done to improve the healing process A The majority of brachial plexus palsy cases heal spontaneously with no intervention at all At first simply resting the arm for comfort is the best thing the healing process may take anywhere from weeks to months or more Early referral to therapy is beneficial to prevent tightness from developing but will not speed up the recovery Patients who are slow to heal may benefit from surgical interventions Several time points during development have recently been shown to be important to keep track of as different paths of treatment may need to be pursued For cases in which the child has developed good strength to bend the elbow in the first two months of life a full or very near full recovery should be anticipated over the next several years If the child reaches 5 6 months of age and still has significant weakness in bending the elbow microsurgical exploration repair of the nerves is warranted Children with good strength at the elbow by this age have not been shown to benefit from this early surgery compared to therapy and observation alone Regardless of the path chosen infants with significant elbow weakness at 6 months of age are anticipated to have some permanent limitations in strength and motion of that arm Q Some doctors recommend operating on my child s nerves by three months of age to guarantee the best recovery possible why shouldn t I do this A Peer reviewed published quality research studies have shown that at 5 6 months of age the nerve surgery should be considered There are many children who are still very weak at age 3 months is made but who are much stronger at 5 6 months of age and don t need the surgery Those children would have had unnecessary surgery to achieve the same result by a year or two of age There are ongoing investigations to attempt to refine these recommendations to be as accurate as possible Q If my child can bend her elbow well at 6 months of age am I assured 100 percent recovery A Unfortunately no Many children who have excellent function of their hands and good function of their elbows still develop significant problems with their shoulders The most common pattern seen is an inability to turn the arm away from the chest external rotation and to elevate the arm above the shoulder flexion

    Original URL path: http://www.rchsd.org/programs-services/brachial-plexus-clinic/frequently-asked-questions/ (2015-03-26)
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  • Locations
    Health Information Exchanges MyChart About Us Who We Are Newsroom Patient Stories Research Get Involved Events Publications Health Safety Health Library Ask Your Nurse Videos Safety Store at Rady Children s Rethink Your Drink Injury Prevention Growing Up Columns Locations Main Campus Satellite Locations Emergency Urgent Care Programs Services Brachial Plexus Clinic Locations Brachial Plexus Clinic Locations Brachial Plexus Clinic Frequently Asked Questions Locations Locations Rady Children s Hospital San

    Original URL path: http://www.rchsd.org/programs-services/brachial-plexus-clinic/locations/ (2015-03-26)
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  • Team
    multidisciplinary team includes physicians nurses hematology oncology nurse practitioners psychologists clinical social workers child life specialists clinical pharmacists dietitians and chaplains Attending Physicians William D Roberts M D Director Peckham Center for Cancer and Blood Disorders Division Chief Pediatric Hematology Oncology Rady Children s and UC San Diego Pediatric Hematology Oncology Fellowship Program Director UC San Diego Clinical Professor of Pediatrics UC San Diego Hyunah Ahn M D Staff Hematologist Oncologist Assistant Clinical Professor of Pediatrics UC San Diego Eric Anderson M D Medical Director Blood and Marrow Transplantation Program Peckham Center Associate Clinical Professor of Pediatrics UC San Diego Paula Aristizabal M D Staff Hematologist Oncologist member Division of Hematology Oncology UC San Diego Department of Pediatrics Sun Choo M D Staff Hematologist Oncologist John Crawford M D M S Director Neuro Oncology Program Peckham Center Assistant Professor of Neurosciences and Pediatrics UC San Diego Donald Durden M D Ph D Director Hematology Oncology Research Rady Children s Vice Chair for Research UC San Diego Associate Director Pediatric Hematology Oncology UC San Diego Moores Cancer Center Professor of Pediatrics UC San Diego Amy Geddis M D Ph D Co Director Hemophilia Thrombosis Research Program Peckham Center Associate Clinical Professor of Pediatrics UC San Diego Jenny Kim M D Medical Director Sickle Cell Program Associate Clinical Professor of Pediatrics UC San Diego Faith Kung M D Staff Hematologist Oncologist Associate Professor of Pediatrics UC San Diego Deborah E Schiff M D Medical Director Palliative Care Program Peckham Center Clinical Professor of Pediatrics UC San Diego Courtney Thornburg M D M S Medical Director Hemophilia and Thrombosis Program and Co Director Hemophilia Thrombosis Research Program Associate Clinical Professor of Pediatrics UC San Diego Janet Yoon M D Staff Hematologist Oncologist Assistant Clinical Professor of Pediatrics UC San Diego Fellows Lauge Farnaes

    Original URL path: http://www.rchsd.org/programs-services/cancer-blood-disorders/team/ (2015-03-26)
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  • Conditions Treated
    Injury Prevention Growing Up Columns Locations Main Campus Satellite Locations Emergency Urgent Care Programs Services Cancer Blood Disorders Conditions Treated Rady Children s Specialists Cancer Blood Disorders Conditions Treated Cancer Blood Disorders Team Conditions Treated Services Psychosocial Programs Integrative Medicine Program Research and Clinical Trials Support Groups Fellowship Resources Locations Patient Stories Conditions Treated We care for children of all ages from infants through young adults who have cancer or blood disorders We also treat other conditions not listed here Acute lymphoblastic leukemia Acute myeloid leukemia Alpha thalassemia Anemia of various causes including nutritional related to lead poisoning or from bone marrow failure specific kinds of anemia are listed alphabetically below Aplastic anemia Autoimmune hemolytic anemia Blood clotting disorders Bone tumors and Ewing sarcoma Brain tumors Chronic anemia Congenital amegakaryocytic thrombocytopenia Chronic myelogenous leukemia Diamond Blackfan anemia Dyskeratosis congenita Fanconi anemia G6PD deficiency Germ cell tumors Hemoglobin E or E beta thalassemia Hemolytic anemia Hemophilia Hemostasis disorders Hereditary spherocytosis Hodgkin disease Hypoproliferative anemia Idiopathic thrombocytopenic purpura ITP Iron deficiency anemia Juvenile myelomonocytic leukemia Kidney tumors Wilms tumor and other kidney tumors Langerhans cell histiocytosis Leukemia Liver tumors Melanoma Neuroblastoma Neutropenia including cyclic neutropenia Non Hodgkin lymphoma Platelet dysfunction Pyruvate kinase

    Original URL path: http://www.rchsd.org/programs-services/cancer-blood-disorders/conditions-treated/ (2015-03-26)
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  • Services
    Child Maltreatment Programs International Services Support Groups Services Search All Find a Doctor Patients Visitors Your Child s Hospital Stay Pay Your Bill Financial Assistance Medical Records Health Information Exchanges MyChart About Us Who We Are Newsroom Patient Stories Research Get Involved Events Publications Health Safety Health Library Ask Your Nurse Videos Safety Store at Rady Children s Rethink Your Drink Injury Prevention Growing Up Columns Locations Main Campus Satellite Locations Emergency Urgent Care Programs Services Cancer Blood Disorders Services Rady Children s Specialists Cancer Blood Disorders Services Cancer Blood Disorders Team Conditions Treated Services Blood and Bone Marrow Transplantation Program Hemophilia and Thrombosis Treatment Center Long Term Follow Up Thriving After Cancer Clinic Neuroblastoma Program Neuro Oncology Program Neuropsychological Testing Nutrition Services Comprehensive Sickle Cell Center Psychosocial Programs Integrative Medicine Program Research and Clinical Trials Support Groups Fellowship Resources Locations Patient Stories Services The Peckham Center for Cancer and Blood Disorders provides a full range of clinical services including Blood and Bone Marrow Transplantation Program Hemophilia and Thrombosis Treatment Center Long Term Follow Up Thriving After Cancer Clinic Neuroblastoma Program Neuro Oncology Program Neuropsychological Testing Nutrition Services Proton Therapy Comprehensive Sickle Cell Center Rady Children s Hospital San Diego

    Original URL path: http://www.rchsd.org/programs-services/cancer-blood-disorders/services/ (2015-03-26)
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  • Psychosocial Programs
    Safety Store at Rady Children s Rethink Your Drink Injury Prevention Growing Up Columns Locations Main Campus Satellite Locations Emergency Urgent Care Programs Services Cancer Blood Disorders Psychosocial Programs Rady Children s Specialists Cancer Blood Disorders Psychosocial Programs Cancer Blood Disorders Team Conditions Treated Services Psychosocial Programs Clinical Social Worker Services Hematology Oncology Parent Liaison Program Supportive Care Program Integrative Medicine Program Research and Clinical Trials Support Groups Fellowship Resources

    Original URL path: http://www.rchsd.org/programs-services/cancer-blood-disorders/psychosocial-programs/ (2015-03-26)
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  • Integrative Medicine Program
    Your Nurse Videos Safety Store at Rady Children s Rethink Your Drink Injury Prevention Growing Up Columns Locations Main Campus Satellite Locations Emergency Urgent Care Programs Services Cancer Blood Disorders Integrative Medicine Program Rady Children s Specialists Cancer Blood Disorders Integrative Medicine Program Cancer Blood Disorders Team Conditions Treated Services Psychosocial Programs Integrative Medicine Program Team Therapies Activities Resources Research and Clinical Trials Support Groups Fellowship Resources Locations Patient Stories Integrative Medicine Program Our Mission To ultimately facilitate patients well being by creating a healing environment through the integration of complementary and conventional medicine and to ensure that every patient has appropriate access to physical emotional and spiritual therapies About Integrative Medicine Integrates conventional and complementary methods of treatment and prevention Involves activating the body s healing response Engages mind body spirit and community to facilitate healing Maintains that healing is always possible even if there is no cure Encourages providers to model healthy lifestyles for their patients Focuses attention on patients lifestyle choices for the prevention and maintenance of health Contact Us For general questions or requests about the Integrative Medicine Program please contact Program Coordinator Jeanie Spies Phone 858 576 1700 ext 6188 Email jspies rchsd org For

    Original URL path: http://www.rchsd.org/programs-services/cancer-blood-disorders/integrative-medicine-program/ (2015-03-26)
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