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George Rogu M.D. of Adoptiondoctors.com's Articles


Preadoption documentation (2)	Medical data (1)
Autism (1)	General issues and advice (3)
Preadoption medical conditions (9)	Infections & vaccinations (4)
General health (4)	FAS (1)
Post-Traumatic Stress Disorder (1)

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Blind Referral Evaluation 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? Can immunization records from orphanages be relied upon Vaccinations in the third-world nations often are not on par with accepted standards; can immunization records from orphanages be relied upon? Club Foot deformity... My referral is a special needs newborn with bilateral clubfoot. What is this condition and is it correctable? Diabetes in an internationally adopted child A two-year old boy has diabetes. What would this entail if we adopt him? Diagnosis of Fetal Alcohol Syndrome in the Internationally Adopted Child Can Fetal Alcohol Syndrome be distinguished by doctors and is there a test that can be performed to help with the diagnosis? Giardia Infection On the post-adoption medical examination, my son who was adopted from Russia had something called Giardia in the school. Why did he get this disease and how serious is it? HbH disease 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. How to choose a Pediatrician for your child Does anyone have advice on what to look for in a Pediatrician to care for my Internationally adopted child, and what questions should one ask of him during the “Get to know you interview”? Indication of HIV Infection in the child's records We are in the referral stage of an adorable 15 month old baby girl. Her medical reports state that she has had perinatal contact with HIV. The baby has since been tested Negative twice for HIV. What should we know before we proceed? Institutional Autism and the adopted child from Russia I have heard the term "institutional autism" as being a complication of living in an institution or orphanage. Autism sounds like a very scary word and I am nervous about this condition. Could you explain this diagnosis and what are the expected outcomes for these children? Is child Abuse More Prevalent in International Adopters? Is child abuse more prevalent in parents who adopt a child Internationally as opposed to parents who have biological children? My child was born with a cleft lip/palate deformity, what do I need to know? Cleft lip or palate is a facial defect causing a cleft that is either unilateral or bilateral. It is easily corrected surgically, and with special services like speech therapy, occupational therapy and a team approach these children do very well with complete recovery. Orphanage to family life transition period After arriving home how can I help ease the transition from orphanage life to family life? Perinatal Encephalopathy Russian Diagnosis, should I worry? 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? Post-Adoption Medical Examination What are the Recommended Screening Tests and Evaluations for newly adopted Post Institutionalized child? Post-Institutional rehabilitative stratagies for the internationally adopted child What are some strategies that I as parent can implement to help my child rehabilitate from the institutional care setting?... Reader's Questions on Children with small Head Size - Microcephaly 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 Readers question about Rickets in orphan children 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? Readers question on Congenital Hip Dysplasia 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. Russian medical jargon or real medical problems? I am adopting a 3 ½ y/o child from Russia. From a parents point of view, this child looks pretty normal yet his medical record is full of scary diagnosis. Can you explain what these diagnosis actually mean and do they really mean something or can they just be dismissed as just non-relevant medical jargon? Should an Internationally adopted child be screened for H. Pylori even if he/she seem asymptomatic? The incidence of H. Pylori is very low in children of industrialized countries. The incidence increases by a small amount every year and it dramatically increases after the age of 20 years. Syphilis at birth in the Internationally adopted child "My referral's medical info states that the child tested positive for syphilis at birth? What further questions should I ask - can I still consider this referral?" Thalasemia 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? Typical medical issues encountered in internationally adopted children Some of the medical issues encountered in children adopted internationally What is it about Institutions and Orphanages that make them so detrimental to a child’s overall health and development? The negative influence of institutions and orphanages on child’s overall health and development 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?

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Center for cognitive-developmental assessment and remediation of internationally adopted children

An INDEX of
selected resources that can help you find answers to your adoption related questions

With its rich language and intricate plot
Monster, Oil on Canvas reads like a classic novel.

In the ultimate Russian-American culture merge,
it’s the product of
a Russian mind woven in the English Language.

It features both moving and grotesque characters,
a wild intrigue and, while not a prevalent motif, an international adoption subplot vital
for the storyline.