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Malnourished orphan children and Iron Defciency Anemia

Malnourished orphan children and Iron Defciency Anemia By: George Rogu M.D. Do malnourished internationally adopted children suffer from Iron deficiency anemia? Could this be a probable cause of the child's developmental delay? What do I as an adoptive parent need to be aware of? It is a well-known fact that all children need a well
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*Reader's Question on Perinatal Lesions CNS

Reader's Question on Perinatal Lesions CNSBy: George Rogu M.D. of Adoptiondoctors.comThis is an excellent question because it is found all too commonly on many of the medical reports. I have also personally found that many adoptive parents access the internet for most of their adoptive information. It is well know that this is a common
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*What is the purpose of post- placement visits and what do they cover?

What is the purpose of post- placement visits and what do they cover?By: Leslie Zindulka LCSW-RWhat is the purpose of post- placement visits and what do they cover? Post-placement visits are sometimes referred to as post- placement supervision. The two main purposes are to gather information and to provide support. Once a child has successfully
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What is an adoptive parent profile?

What is an adoptive parent profile?By: Leslie Zindulka LCSW-RWhat is an adoptive parent profile? An adoptive parent profile has many names. It is often referred to as a parent profile, an adoption profile, adoption dossier, adoption portfolio or a family resume.Profiles generally include statistical history about yourself, such as age, educational and employment background, your
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Other Children and the Homestudy

Other Children and the HomestudyBy: Leslie Zindulka LCSW-RWhat's expected if you already have children during the home study? If you already have children, either biological, adopted or both, they will be included in the home study process. Their involvement will vary based on their age, but all children will need to meet the social worker.
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To Tell the Truth

To Tell the Truth By: Leslie Zindulka LCSW-R How important is it for prospective adoptive parents to tell the truth about past problems - and current medical/emotional problems - that are being treated and under control? To Tell the Truth My mother always told me to tell the truth because, “Honesty is the best policy”.
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What Impacts the Home Study: Who May Adopt

What Impacts the Home Study: Who May Adopt By: Leslie Zindulka LCSW-R of Adoptiondoctors.com What Impacts the Home Study: Who May Adopt Adoption is considered by many as a "gray" area of the law. This is a big myth perpetuated by ignorance. The fact is that statutes in all states strictly regulate the adoption process.
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Marriage and Adoption

Marriage and Adoption By: Leslie Zindulka LCSW-R Question: My partner and I have been living in a loving relationship for 5years and have our wedding date set for October 2007 will this be a problem regarding adoption? Congratulations on your upcoming wedding! As I am not a licensed social worker in Australia and not familiar
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Is honesty the best policy during the home study?

Is honesty the best policy during the home study?By: Leslie Zindulka LCSW-RQuestion: My husband and I are getting ready to begin the international adoption process, and wondering whether it is necessary to disclose something. Thirty years ago, my husband was convicted on a drug possession misdemeanor.The conviction has since been expunged and the record is
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International Adoptees Starting School

International Adoptees Starting SchoolBy: Leslie Zindulka LCSW-R of Adoptiondoctors.comWhat steps are needed in order for my internatioanlly adopted child to start school in the U.S.? First 2-4 Weeks: Things to do when arriving home Get a health examination from an International Adoption Pediatrician.  Get an accurate psychosocial-educational evaluation done in their native language.  (In New York)
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How Adoption Impacts Children at School

How Adoption Impacts Children at SchoolBy: Leslie Zindulka LCSW-R of Adoptiondoctors.comHow Adoption Impacts Children at School: The Preschool Years Like all children, adopted children spend a good portion of their waking hours in school. Because school is such an important aspect of children's lives, adoptive parents, like all parents, want their child's school experience to
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Adoption: The Elementary School Years

Adoption: The Elementary School YearsBy: Leslie Zindulka LCSW-R of Adoptiondoctors.comAdoption: The Elementary School Years First grade is when "real school" begins. Six-year-olds now have reached the age when they are required to sit still, pay attention and learn to read and write. During these years, they will gain a new sense of independence as they
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*Russian medical jargon or real medical problems?

Russian medical jargon or real medical problems?I must agree with you. Many times I view a video and the child looks great yet when I review the medical records it is full of medical diagnosis that sometimes scare me as a physician. It is because of this reason that I became interested in children that
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*I have heard that many internationally adopted children are at risk for Reactive Attachment Disorder. What is this disorder and what are some of the signs that parents should look for?

I have heard that many internationally adopted children are at risk for Reactive Attachment Disorder. What is this disorder and what are some of the signs that parents should look for?By: Dr. Mark LernerReactive Attachment Disorder (RAD) is a condition in which individuals exhibit markedly disturbed and developmentally inappropriate social relatedness. Children with RAD have
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*RAD is a common yet under diagnosed entity in internationally adopted children. Could you explain this condition?

RAD is a common yet under diagnosed entity in internationally adopted children. Could you explain this condition?By: Nicholas Rogu M.D.Reactive Attachment Disorder (RAD) is the result of several interruptions that occur during the formative period of a child’s development. Their ability to “attach”, trust others and relate to primary caregivers is negatively affected.A child’s ability
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*You have introduced Adoption Stress. Is this the same as Post-Adoption Depression?

You have introduced Adoption Stress. Is this the same as Post-Adoption Depression?By: Dr. MArk Lerner of Adoptiondoctors.comThe term "Post-Adoption Depression" has been used to explain the feelings of sadness that are experienced by many adoptive parents subsequent to the adoptive process. Unlike postpartum depression, which may be caused by significant physiological and hormonal changes (e.g.,
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Post-traumatic stress & Manifest in the young institutionalized child?

What is post-traumatic stress and how does it manifest in the young institutionalized child?By: Dr. Mark LernerUnfortunately, a significant number of young institutionalized children are exposed to traumatic events. These include, but are certainly not limited to, neglect, physical and sexual abuse and various degrees of abandonment. By having an understanding of traumatic stress and
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What symptoms suggest that an adoptive child has been exposed to a significant traumatic event?

What symptoms suggest that an adoptive child has been exposed to a significant traumatic event?By: Dr. Mark LernerMany adoptive children have, unfortunately, faced traumatic events. Having an understanding of the symptoms suggestive of traumatic exposure can aid in identifying children who may be experiencing traumatic stress reactions. Ultimately, by identifying symptoms early, we can keep
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Impact of traumatic stress experienced by the parents of adoptive children?

Impact of traumatic stress experienced by the parents of adoptive children?By: Dr. Mark LernerAs I have indicated previously, a significant number of adoptive children have been exposed to traumatic events including, but not limited to, neglect, physical and sexual abuse and various degrees of abandonment. I have emphasized the importance of recognizing and addressing traumatic
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*Do adoptive parents frequently experience Post traumatic Stress Disorder (PTSD)?

Do adoptive parents frequently experience Post traumatic Stress Disorder (PTSD)?By: Dr. Mark LernerDo adoptive parents frequently experience Posttraumatic Stress Disorder (PTSD)? And do these parents who are "victimized" by the process go on to become "self-proclaimed experts" in adoption? Certainly a provocative question! Unfortunately, far too many people confuse Posttraumatic Stress Disorder (PTSD) with Traumatic
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Impact of Traumatic Stress on Parents

Impact of Traumatic Stress on ParentsBy: Dr. Mark LernerAs I have indicated previously, a significant number of adoptive children have been exposed to traumatic events including, but not limited to, neglect, physical and sexual abuse and various degrees of abandonment. I have emphasized the importance of recognizing and addressing traumatic stress early—potentially preventing acute stress
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Adoption Stress and International Adoption

Adoption Stress and International AdoptionBy: Dr. Mark LernerUnfortunately, far too many adoptive children have faced traumatic events including, but not limited to, neglect, physical and sexual abuse and various degrees of abandonment. In recent months, I have accompanied Dr. George Rogu on a speaking tour with AdoptionDoctors.com.As the “Adoption Psychologist,” I regularly explain to adoptive
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Childhood Onset Bipolar Disorder and the Internationally adopted child

Childhood Onset Bipolar Disorder and the Internationally adopted childBy: Nicholas Rogu M.D.Childhood Onset Bipolar Disorder and the Internationally adopted child. Bipolar Disorder is characterized by intense, persistent mood swings between the states of depression and mania. These moods are greatly intensified or clearly different from the youngster's usual personality and are far out of proportion
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I have heard that Attention Deficit/Hyperactivity Disorder (ADHD) is more common among adoptive children than the general population. Is this true? And, if so, why?

I have heard that Attention Deficit/Hyperactivity Disorder (ADHD) is more common among adoptive children than the general population. Is this true? And, if so, why?By: Dr. Mark LernerI have heard that Attention Deficit/Hyperactivity Disorder (ADHD) is more common among adoptive children than the general population. Is this true? And, if so, why? Attention Deficit/Hyperactivity Disorder
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Adopted granddaughter is obsessing about her birth mother

Adopted granddaughter is obsessing about her birth motherBy: Dr. Mark Lerner7 year old adopted granddaughter is obsessing about her birth mother, and can't seem to get peace about being adopted. How can we help her accept that she can't see her birth mother until she is 18 years old? Many adoptees yearn to know more
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Oligophrenia in the Biological mother

Oligophrenia in the Biological motherBy: James Reilly M.D.Oligophrenia usually is used to mean mentally deficient. It is an unfortunate term because it is very broad and prone to misuse. Mental retardation has a number of etiologic factors. unfortunately in about 40 percent of cases we never find out the etiology after a thorough investigation. Mental
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Psycho-medical and social effects of natural disasters

Psycho-medical and social effects of natural disastersBy: Dr. Mark LernerWhat are some of the psycho-medical and social effects of natural disasters such as Hurricane Katrina on children living through this traumatic event? Natural disasters like hurricane Katrina and other events like the 9/11 terrorists attacks have grave implications on all persons that live through these
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Psychological screening tests for the newly adopted post-institutionalized children

psychological screening tests and evaluations for the newly adopted post-institutionalized children By: Dr. Mark Lerner Fortunately, there is a growing appreciation of the unique needs of adoptive children. While efforts are made to evaluate and understand the medical background and medical status of adoptive children, little attention is given to address the emotional and behavioral
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Recommended Medical screening test for the Internationally Adopted Child

Recommended Medical screening test for the Internationally Adopted ChildBy: George Rogu M.D.What are the Recommended Screening Tests and Evaluations for newly adopted Post Institutionalized children?" In the USA, generalized routine laboratory screening of healthy children is not standard of care. In children that are internationally adopted, extensive screening tests are performed because of a multitude
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Small head size, is it a problem?

Small head size, is it a problem?By: George Rogu M.D.Microcephaly: Small Head size Plotting head growth is the standard of care in all offices that provide medical care for infants and children. While there are numerous medical factors that can adversely affect a child’s head size, living in an institution itself can cause of global
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Reader's Question of Tethered Cord...

Reader's Question of Tethered Cord...By: George Rogu M.D.During fetal development the spinal cord occupies the entire length of the vertebral column, this cannot persist because when the child or the adult bends this may cause a kink in the blood supply though the spinal cord. Surgical transaction to the thickened cord tends to halt the
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Reader's Question on Microophthalmia...

Reader's Question on Microophthalmia...By: James Reilly M.D.Micropthalmia: Is a disorder of the development of the eye which is akin to not having developed an eye at all. Midline defects such as this are often associated with other abnormalities since the development of the eye begins very early in development. In other words something that effects
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Zinc Deficiency and the orphan child

Zinc Deficiency and the orphan childBy: George Rogu M.D.I have heard than many orphanage children that has developmental delay may also suffer from Zinc deficiency? Is this correct and what can we do to manage it ? As with many other types of other vitamin deficiencies found in the Internationally adopted child, Zinc deficiency has
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Malnourished orphan children and Iron Deficiency Anemia

Malnourished orphan children and Iron Deficiency Anemia By: George Rogu M.D. Do malnourished internationally adopted children suffer from Iron deficiency anemia? Could this be a probable cause of the child's developmental delay? What do I as an adoptive parent need to be aware of? It is a well-known fact that all children need a well
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Please let me know if a child with a diagnosed "sponge kidney"

Please let me know if a child with a diagnosed "sponge kidney"By: James Reilly M.D.Most patients discovered incidentally to have medullary sponge kidney can be advised that the disorder is benign and that they can anticipate no serious morbity or mortality from the disorder. On the other hand, kidney stone formation can occur in some
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Reader's Question on Blind international adoption referrals.

Reader's Question on Blind international adoption referrals.By: George Rogu M.D.The pre-adoption medical evaluation is educational service for pre-adoptive parents and is not mandatory prior to adoption. It is a intelligent service to take advantage of because a professional can review medical data and explain medical information and jargon to parents that they would otherwise not
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Adoption Travel Options

Adoption Travel OptionsBy: Leslie Zindulka LCSW-RAdoption Travel Options So many questions come to mind. So many variables to consider. Domestic travel: By airplane or a driveable location. International travel: How many trips are required and for how long a stay is needed.If you already have children at home: Should I bring my children with me
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International travel tips

International travel tipsBy: George Rogu M.D.I am journeying overseas to adopt Internationally. I will hopefully be taking my toddler and adolescent on this trip. What can I do to ensure a healthy and enjoyable trip for my family? International travel, with the entire family unit has become a growing trend among potentially adoptive families.Some see
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Make traveling with children enjoyable

Make traveling with children enjoyableBy:You're planning a long trip and the children will be going. Maybe it's a visit to your sister or a summer vacation. You know you will have a good time when you get there but the car ride, well that's a different story. You've done it before and the memories... Well
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Institutional Autism, secondary to orphanage living conditions.

Institutional Autism, secondary to orphanage living conditions. By: George Rogu M.D. Many children who are available for international adoption have either been placed in hospital-run orphanage or a classic institutional care setting for a multitude of reasons. These reasons range can from illness or untimely deaths of biological parents, to the parents' inability to care
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* Medical Issues of the Post Institutionalized Child

"Medical Issues of the Post Institutionalized Child"By: George Rogu M.D.Generally, children that are placed for international adoption are placed because of a multitude of reasons. They are rarely if ever placed because they come from intact family networks with perfect family medical and past medical history.These children are placed because of abandonment, poverty, illness or
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Reader's Question on Orphanage to family life Transition period

Reader's Question on Orphanage to family life Transition periodBy: George Rogu M.D.After an adoption the stress that a child can experience is difficult to describe. Just imagine, this child is taken out of his usual environment by complete strangers, forced to go on a terrifying plane, and now live in a completely unfamiliar home setting
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Post Adoption Peculiar Behaviors

Post Adoption Peculiar BehaviorsBy: George Rogu M.D.I have heard that many Institutionalized children exhibit many peculiar behaviors shortly after arriving home. Can you described some of these behaviors and what does a new adoptive parent need to do to help over come these behaviors?Many peculiar behaviors can be observed immediately post-adoption in many internationally adopted
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Orphanages as the cause for ADHD

Orphanages as the cause for ADHDBy: James Reilly M.D.I am wondering how you differentiate a child suffering from ADHD from a child who was raised for 2.5 years in an orphanage and has very limited early life data.The etiology of ADHD is difficult to ascertain and in the patient who has a history of spending
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Why is sleeping a major issue with my internationally adopted child?

Why is sleeping a major issue with my internationally adopted child?By: George Rogu M.D.Why is sleeping a major issue with my internationally adopted child? Orphan children that live in old-fashioned Institutions are commonly placed on a regimented sleep schedule. This schedule is created so that the caregiver will have some quiet time in order to
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Reader's Question on Giardia Infection

Reader's Question on Giardia InfectionBy: George Rogu M.D.Giardia is an intestinal parasite that uses the human being as the primary host for infection. Giardia organisms also infect dogs, cats and beavers as well as other animals. These animals contaminate water with feces that contain cysts and it is these cysts that are infectious to other
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Can immunization records from orphanages be relied upon

Can immunization records from orphanages be relied uponBy: George Rogu M.D.To revaccinate or not is a very heated and emotional decision that all adoptive parents need to face with the help of their general pediatrician. While obviously, the safest and the most accurate way is to just revaccinate every child regardless of immunization records. Unfortunately,
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