Maureen Andrew - Blood clots and strokes: a guide for parents and little folks

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title	:	Blood Clots and Strokes : A Guide for Parents and Little Folks
author	:	Andrew, Maureen.
publisher	:	B.C. Decker, Inc.
isbn10 | asin	:	155009064X
print isbn13	:	9781550090642
ebook isbn13	:	9780585211299
language	:	English
subject	Thrombosis in children--Popular works, Cerebrovascular disease in children--Popular works.
publication date	:	1998
lcc	:	RJ416.C63A53 1998eb
ddc	:	618.92/135
subject	:	Thrombosis in children--Popular works, Cerebrovascular disease in children--Popular works.

Page iii Blood Clots and Strokes A Guide for Parents and Little Folks Maureen Andrew, M.D. Professor of Pediatrics Children's Hospital at Chedoke-McMaster, Hamilton The Hospital for Sick Children, Toronto Canada 1998 B.C. Decker Inc. Hamilton London

Page iv B.C. Decker Inc. 4 Hughson Street South P.O. Box 620, L.C.D. 1 Hamilton, Ontario L8N 3K7 Tel: 905-522-7017 Fax: 905-522-7839 e-mail: info@bcdecker.com website: http://www.bcdecker.com (c) 1998 Maureen Andrew All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without prior written permission from the publisher. 98 99 00 01 /PC/ 9 8 7 6 5 4 3 2 1 Printed in Canada ISBN 1-55009-064-X Sales and Distribution United States Blackwell Science Inc. Commerce Place 350 Main Street Malden, MA 02148 U.S.A. Tel: 1-800-215-1000 Canada B.C. Decker Inc. 4 Hughson Street South P.O. Box 620, L.C.D. 1 Hamilton, Ontario L8N 3K7 Tel: 905-522-7017 Fax: 905-522-7839 e-mail: info@bcdecker.com Japan Igaku-Shoin Ltd. Foreign Publications Department 3-24-17 Hongo, Bunkyo-ku Tokyo 113-8719, Japan Tel: 3 3817 5680 Fax: 3 3815 7805 e-mail: tmbook@ba2.so-net.or.jp U.K., Europe, Scandinavia, Middle East Blackwell Science Ltd. c/o Marston Book Services Ltd. P.O. Box 87 Oxford OX2 0DT England Tel: 44-1865-79115 Australia Blackwell Science Pty, Ltd. 54 University Street Carlton, Victoria 3053 Australia Tel: 03 9347 0300 Fax: 03 9349 3016 India Jaypee Brothers Medical Publishers Ltd. B-3 EMCA House, 23/23 Ansari Road, Daryaganj, P.B. 7193, New Delhi-110002, India Tel: 11 3272143 Fax: 11 3276490 Notice: The authors and publisher have made every effort to ensure that the patient care recommended herein, including choice of drugs and drug dosages, is in accord with the accepted standard and practice at the time of publication. However, since research and regulation constantly change clinical standards, the reader is urged to check the product information sheet included in the package of each drug, which includes recommended doses, warnings, and contraindications. This is particularly important with new or infrequently used drugs. This work was supported, in part, by funds raised through the Appleby College Walk-a-Thon (Oakville, Ontario, Canada)

Page v Preface Blood Clots and Strokes: A Guide for Parents and Little Folks is perhaps the most rewarding publication with which I have been involved. The idea for the book arose from the numerous conversations I have had with concerned parents over the past decade of caring for children with blood clots and strokes. I have attempted to answer the most common questions asked by parents during that time. In general, blood clots occur in children who have major primary illnesses. For many parents, the news of a blood clot is another in a long line of complications. In some children, the clot is the surprise complication which impairs otherwise good recovery. Less commonly, the clot or stroke is a sudden devastating blow to an otherwise well child. Despite the emotional trauma that often accompanies the news of the blood clot, I am always impressed by the desire of the parents to understand their child's illness, their willingness to explain the illness to their child, and their overwhelming ability to put all else aside to do whatever is required to help their child. I chose to format the book as a series of specific questions and answers because I think this format will be the most helpful and allow for quick and easy reference. The questions are all those I have been directly asked by many parents. My answers have changed over the years. First, because our knowledge in the field of clots and stroke in children is rapidly expanding. The huge amount of research currently ongoing in this field in pediatrics will continue to modify some of these answers in the future. Second, over time I have learned from parents how to better express the complex nature of the diseases and treatments in terms that they can understand and pass on to their family members and children. Families are different and for a given question, no single answer is suitable for all parents. This book will not replace the need to discuss your child's illness with your physician, and in certain circumstances, aspects of the answers to some questions may vary. However, I have endeavored to provide parents with an understanding which will enable them to appreciate the need for individual consideration in the care of their children. Apart from the many parents and children who have indirectly contributed to the content of the book, there are a number of people who have directly contributed and who I wish to thank. In particular, Ms LuAnn Brooker who assisted with editing this book, Dr. Gabrielle deVeber, a friend and colleague who assisted with the section on stroke, and the rest of my clinical and laboratory research team, who I depend upon greatly. Finally, I wish to thank my publisher, B.C. Decker Inc., for helping bring this idea to fruition. I hope this book proves useful to parents and children alike.

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