CHOC Children’s Urology Services Now Offered at Mission Viejo Office

The CHOC Children’s Comprehensive Urology Center is excited to announce expanded hours and greater access for South Orange County families at a new Mission Viejo office location with CHOC pediatric urologist Dr. Gordon McLorie.

Gordon McLorie, MD, FRCSC, FAAP
Gordon McLorie, MD, FRCSC, FAAP

Dr. McLorie is a Professor in the Department of Urology at the University of California, Irvine School of Medicine. He is also the Director of the Pediatric Urology Fellowship Program at CHOC and UC Irvine. Dr. McLorie completed his residency at University of Toronto. He completed a fellowship in Oncology at University of California, Los Angeles, as well as a fellowship in Pediatric Urology at Harvard Medical School’s Boston Children’s Hospital.

Dr. McLorie sees patients for consults the 2nd and 3rd Thursday mornings of each month, from 8:00 a.m. to Noon in Mission Viejo. Follow up visits with Dr. McLorie can also now be scheduled at the Mission Viejo office.

The Mission Viejo office is located across from Mission Hospital at: 
27800 Medical Center Road Suite #138
Mission Viejo, CA 92691
For appointments, call: (714) 509-3919

CHOC Children’s Pediatric Comprehensive Urology Center in Orange Ranks Among Top Centers
Since opening its doors in 2010, the Urology Center has ranked among the top Urology Centers in the nation, according to US News and World Report. The Urology Center’s staff work closely with pediatricians and other sub-specialists, including nephrologists, endocrinologists, geneticists, neurologists, oncologists and radiologists.

The Urology Center offers a full array of services to help improve the efficiency of a child’s urologic care.  The Center also evaluates and counsels expectant mothers who have US-diagnosed fetal urological concerns.

Reconstructive Surgery
CHOC’s pediatric urologists are world-renown in complex reconstructive surgery of the genitourinary tract for conditions such as:

• Hypospadias and hypospadia revisions
• Cloacal anomalies
• Bladder exstrophy
• Disorders of sexual differentiation
• Minimally invasive surgical procedures and robotic assisted surgery
• Spina Bifida and neurogenic bladder care
• Voiding dysfunction
• Nocturnal enuresis
• Hydronephrosis
• Pediatric stone disease
• Vesicoureteral reflux
• Hernias, hydroceles, and undescended testes

To learn more about the Urology services at CHOC, please visit http://www.choc.org/urology.

Spring Launches Sports Season, Health Benefits

Baseball, soccer, softball, swimming, and track and field are just a handful of sports that start new seasons in springtime. Young athletes have many options, which is good not only for for these balls of energy who want to play and have fun — but also their parents.

According to the President’s Council on Fitness, Sports & Nutrition, children ages 6 to 17 should daily get up to 60 minutes of moderate-to-vigorous physical activity. Specifically, at least three days a week should include vigorous activity, and muscle- and bone-strengthening physical activity should also occur three days a week.

Regular physical activity can produce many long-term physical health benefits:

• Prevention of chronic diseases such as heart disease, cancer and stroke (the three leading health-related causes of death)
• Weight control
• Increased muscle strength
• Fat reduction
• Promotion of strong bone, muscle and joint development
• Improved heart and lung condition
• Increased overall strength and endurance
• Improved sleep
• Increased energy levels
• Increased chances of living longer

However, participating in sports improves more than children’s physical health. Athletics can help improve mental health, as well as a child’s social and emotional development:

• Sports help children learn to work in teams
• Athletics help children learn the importance of sportsmanship
• Children gain a spirit of determination and perseverance by participating in athletic activities
• Sports participation helps decrease a child’s potential of becoming depressed
• Athletics help increase self-esteem
• Sports participation relieves stress

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Celebrate Doctor’s Day

In honor of Doctor’s Day, we will be highlighting CHOC Children’s doctors throughout the month of March. Please see the video below with Dr. Sharief Taraman, pediatric neurologist at CHOC, who shares with us why he decided to enter the field of pediatrics.

Thank you to Dr. Taraman, and all of our CHOC doctors for your dedication and commitment to the patients and families we serve!

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It’s National Nutrition Month – “Eat Right, Your Way, Every Day”

By Kelsey Vaughn, RD, CHOC Children’s clinical dietitian

This March is the 40th anniversary of National Nutrition Month, and the Academy of Nutrition and Dietetics encourages you to “Eat Right, Your Way, Every Day.” The theme of this year’s National Nutrition Month asks you to take a look at how your meals compare to current MyPlate standards and emphasizes that it is possible for all people to make foods choices that promote optimal health. This month is the perfect time to reflect on how you can “Eat Right, Your Way, Every Day”.

The MyPlate logo (pictured here) was launched in June 2011 by the United States Department of Agriculture , replacing  the MyPyramid logo previously seen on  food labels. MyPlate is a more visual way of demonstrating what eating healthy can look like and encourages us to choose foods from a variety of food groups to promote a balanced diet.

Eating the MyPlate way ensures we will better meet our vitamin and mineral needs with our daily food choices and promotes caloric balance by emphasizing portion control. The following food groups make up MyPlate: fruits, vegetables, grains, protein and dairy.

Fruits and Vegetables:
One quarter of MyPlate is portioned for fruits, and vegetables fill another quarter of the plate. Together, fruits and vegetables make up half the plate. Fruits and vegetables are full of nutrients and are low in calories. By filling half our plate with these foods, we are able to get adequate amounts of the essential vitamins and minerals that help keep our skin, nails and hair healthy and our immune system strong while not going overboard on calories.

Grains:
Grains take up the third quarter of MyPlate. Pasta, cereals, bread, tortillas and other grain products help us to further meet our nutrient and fiber needs. Fiber is important to digestive health, and MyPlate emphasizes choosing whole grains such as brown rice, oatmeal, and whole wheat bread that are rich in fiber for maximum health benefits.

Protein:
The final quarter of the plate is reserved for protein.  Most Americans consume more than enough protein to meet their needs, so MyPlate emphasizes portion control by recommending only ¼ of our plate be filled with protein and allowing the remaining ¾ of our plate to be filled with other food groups. MyPlate encourages both lean animal proteins and plant sources of protein. Poultry, pork, fish, lean red meats, nuts, seeds, beans and legumes are a few excellent protein sources.

Dairy:
The glass on the side of MyPlate represents a serving of dairy. Low-fat dairy products such as milk, yogurt and cheese are great sources of calcium, which is important for bone health.  Incorporate dairy into each meal of the day for adequate calcium intake.

We all have individual food preferences that are shaped by our family, culture, traditions and lifestyle. Despite our personal food preferences, we can all eat healthy, balanced meals each day by using the MyPlate guidelines. We don’t have to give up our favorite foods to eat healthy; ALL foods can fit into a healthy diet when consumed in moderation and in appropriate portion sizes.  Salad

Below are a few examples that highlight how a variety of foods can fit with MyPlate guidelines:

• Beans with rice and mixed vegetables (protein, grain, vegetable) , topped with cheese (dairy) and served with a side of mango (fruit)

• Small chicken breast (protein) served with large green salad topped with berries (vegetable, fruit) and served with a whole wheat roll (grain) and a glass of low-fat milk (dairy)

• Whole grain pasta with marinara sauce (with added vegetables such as mushrooms and onions) and lean ground beef (grain, vegetable, protein) served with green beans (vegetable) and low-fat cottage cheese topped with pineapple (dairy, fruit)

Take a look at how your plate compares with MyPlate recommendations this National Nutrition Month. Incorporate your preferred fruits, vegetables, whole grains, lean proteins, low fat dairy products at meal times so each meal can be a step toward better health!

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CHOC Children’s Heart Institute, Center Provides Latest Tech Innovations

With exciting technology at every turn, The Bill Holmes Tower at CHOC Children’s is filled with the latest equipment and innovations – and the CHOC Heart Institute is no exception. Set to open in the new space next month, the Heart Institute and its Heart Center boasts advanced technology that will help physicians ensure successful patient outcomes.

Dr. Anthony C. Chang (on left) – the Heart Institute’s medical director who also leads a group of medical community members charged with exploring changing medical technology – talks more about the innovations inside the Heart Institute.

Q: What new equipment and technology will be found inside the Heart Institute?
A: We’ll have advanced imaging such as three-dimensional (3-D) real-time echocardiography, and magnetic resonance (MR) and computed tomography (CT) angiography with 3-D anatomic reconstruction.

One of our two cardiac catheterization labs will be a hybrid laboratory so that both diagnostic and interventional cases can occur. Also, we’ll have a cardiopulmonary stress testing suite, where we can perform stress tests and stress echocardiogram testing.

For the first time, these services will be available under one roof: It’s like a separate heart hospital.

Q: What are the advantages of a 3-D echocardiography?
A: An echocardiogram is an ultrasound-derived image, and with a regular echocardiogram, you see a two-dimensional picture on a screen. It doesn’t give you any depth – it’s just basically slices of images. A 3-D echocardiogram gives you depth and a more detailed picture of the heart’s anatomy. It’s like watching a 3-D movie: You get more depth and a more realistic picture. This is particularly important in children because their heart defects can be so complicated.

Q: What are the benefits of 3-D reconstruction in MR and CT angiography?
A: Angiography creates images of the heart’s blood vessels. MR angiography uses magnetic fields, and CT angiography incorporates contrast dye that is injected into a vein. Both techniques generate an image of the heart, but a 3-D image gives us a clearer and more detailed picture. Again, this is state-of-the-art imaging to look at heart defects in children.

Q: How is today’s technology improving the care and outcomes for young patients with heart conditions?
A: Technology leads to more precise diagnoses and better imaging.

Q: What advancements can we expect to see in the near future?
A: Innovation is leading toward equipment and techniques that create less invasive ways to assess and treat a patient’s heart.

Q: What features are you most excited about in the new Heart Institute?
A: Technology is very exciting, but we’re also working toward developing several other clinics within the institute, such as a heart failure clinic; a sports heart health clinic; and a clinic for overweight and obese children; and a cardiovascular genetics clinic. I would like the Heart Institute/Center to become a community resource for heart health.

For more information about the CHOC Children’s Heart Institute, please visit http://www.choc.org/heart/.

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