Jane
Newburger, MD, Associate Cardiologist-in-Chief at Children's
Hospital Boston offered the following responses:
How would you explain Kawasaki's
Disease to a school age kid?
I tell kids in the acute phase of the illness
that KD is a lot like an infection, although we don't know what
causes it. It affects healthy kids who almost always go back to
being healthy after the illness, although they might feel more
tired than usual for one to two months.
For children with coronary aneurysms the discussion
is very different. I generally discuss the following:
I am very explicit about the
physical sensations (i.e., chest tightness or squeezing with
exercise, nausea, dizziness, etc.) that should prompt them to
talk to their parents or teachers. I stress that it is better
to have a false alarm than to let a real symptom go unreported.
For the older children, I draw
pictures of their arteries and tell them both how we prevent
them from becoming clogged with blood clots and also the ways
that we can treat the arteries if they become "tight" over time.
In particular, we talk about cardiac catheterization with dilation
and stenting of "tight" places, as well as coronary artery bypass
procedures.
I discuss the types of sports
that are best for them to take part in, and the types that are
too dangerous.
<< Back to Table of Contents