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In The Womb:The Crucial First Step By : Sara-Jane Hardman and Jean Mauro LCSW The conditions of pregnancy shape every aspect of a child's later life. Thalasemia By : George Rogu M.D. of Adoptiondoctors.com We have been referred a 5th child that we just found out has HbH disease ( a kind of Thalassemia intermediate). The orphanage in Taiwan says that the parents are denying being carriers and are being genetically tested and that the other 3 children of the birthparents do not have the condition. Is this a life threatening ailment or a chronic medical condition that may be medically managed? Club Foot deformity... By : George Rogu M.D. of Adoptiondoctors.com My referral is a special needs newborn with bilateral clubfoot. What is this condition and is it correctable? Arthrogryposis in the adoptive child's medical record By : James Reilly M.D.of Adoptiondoctors.com What challenges can be expected when arthrogryposis is indicated on the adoptive child's medical record? What is it about Institutions and Orphanages that make them so detrimental to a child’s overall health and development? By : George Rogu M.D. of Adoptiondoctors.com The negative influence of institutions and orphanages on child’s overall health and development Reader's Questions on Children with small Head Size - Microcephaly By : George Rogu M.D. of Adoptiondoctors.com We just received a referral for a 14 month-old Russian girl. I am concerned about her head measurements (microcephaly?) as they are consistently below the 3rd percentile on the CDC charts. Is it easier to make measurement mistakes erring to the small side than to the large side. Perhaps I am making too much of this; but I have read several articles stressing the significance of this condition when it exceeds 2 Standard Deviations (3rd percentile). I have also read that this is not the type of thing that nutritional improvements, etc. will have much effect on after What will my child need if his/her pre-adoptive medical report has a diagnosis of "rickets"? By : Alla Gordina, MD, FAAP As many other diagnoses found in medical documents of children adopted from the former Soviet Union, rickets is both extremey common and extremely over-diagnosed. Readers question on Congenital Hip Dysplasia By : George Rogu M.D. of Adoptiondoctors.com We just received a referral of a 1 year old child to evaluate. The report states that she has "dysplasia of coxofermoral joints". I'm wondering if this is the same as "hip dysplasia" which I understand appears on a lot of referrals. Readers question about Rickets in orphan children By : George Rogu M.D. of Adoptiondoctors.com I am considering this sibling group from Russia (Vladimir), two girls 5 and 8 years old. On the medical report of the younger child, it states that she has had Rickets but her health is now good. It does not state what caused rickets. My concern is that she will have future medical problems from this. What do I need to know and what should I expect? Perinatal Encephalopathy Russian Diagnosis, should I worry? By : George Rogu M.D. of Adoptiondoctors.com We were just referred a 7 month old boy that was born at 35-36 weeks. The medical report we received says that the neurologist diagnosed him as having "perinatal lesion of central nervous system." In June and August, the notation "early recovery period" was on the report. In October, the notation was "late recovery period." Is "perinatal lesion of CNS" something that you frequently see? How concerned should we be? Perinatal Encephalopathy - is it something, or is it nothing? HbH disease By : George Rogu M.D. of Adoptiondoctors.com We have been referred a 5th child that we just found out has HbH disease (a kind of Thalassemia intermediate). The orphanage in Taiwan says that the Hemoglobinopties are disorders of blood cell structure and they may occur in many different ethnic groups, such as African, Asian, Mediterranean or Middle Eastern decent. Blind Referral Evaluation By : George Rogu M.D. of Adoptiondoctors.com I have a Blind referral but I would feel more comfortable if a medical professional reviews my child’s data and video while I am traveling overseas. How can I prepare the medical package and how do I get the data back home in a timely fashion?

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