Elizabeth B. Rand, MD  
Philadelphia, PA

Specialties: Pediatric gastroenterology

The Children's Hospital of Philadelphia
Gastroenterology and Nutrition
Philadelphia, PA
My Posts
Apr 12, 2014 in the Pediatric Transplant Expert Forum - 1
Hi Sherlingai3703 - I think your question is a very good one and I agree with you that you should know now about your reproductive health so you can plan accordingly. Most women transplant recipients can achieve a healthy pregnancy but your pregnancy should be followed closely. If you are having regular menstrual cycles chances are good that you can become...
Oct 02, 2013 in the Pediatric Transplant Expert Forum - 1
Hi Damien3981 - thank you for your question. I'm sorry to hear that your son might need a heart/lung transplant. If he does need a heart/lung transplant the antirejection medications will be necessary to keep those organs functioning. Without immune suppression the organs would fail and his life expectancy would be very short. Organ transplant simply...
Oct 02, 2013 in the Pediatric Transplant Expert Forum - 1
Hi Kareem14 - I'm glad to hear that your daughter is doing well after her liver transplant. Most girls have normal female hormone and organ function after liver transplant; many of the female liver transplant recipients at our center have grown up and had healhty children of their own. The answer also depends on why she had the liver transplant, for e...
Jan 20, 2012 in the Pediatric Transplant Expert Forum - 1
While we remain unable to comment on individual CHOP patients or cases due to laws that protect patient privacy, we wish to state that we do not disqualify potential transplant candidates on the basis of intellectual abilities. We have transplanted many children with a wide range of disabilities, including physical and mental disabilities.
Jan 20, 2012 in the Pediatric Transplant Expert Forum - 1
first, I would like to congratulate you on your successful heart transplant and engagement! your question is somewhat outside the bounds of pediatric practice. I am not aware that immune suppresion from medication can be transmitted to a child from a father, but many medications can impact health of sperm and/or alter the risk of birth defects. Similarly I...
Jul 14, 2011 in the Pediatric Transplant Expert Forum - 1
Hi Pulakesh Das - I'm sorry but I am having trouble understanding your question. It sounds as though you have a 10 day old infant with posterior urethral valve obstruction that has already been repaired. If the obstruction was successfully repaired, and if urine output is increasing, the urea and creatinine should begin to come down. You might ask to...
Jun 25, 2011 in the Pediatric Transplant Expert Forum - 1
First, I would like to say congratulations on your pregnancy and that I'm sorry that you are facing the frightening prospect of losing one twin before birth or having a serious illness after birth. it sounds as though your daughter-to-be has already done better than expected and I hope that will continue to be the case. There are medical as well as sur...
Mar 24, 2011 in the Pediatric Transplant Expert Forum - 2
Information regarding bone marrow donation is available from the national marrow donor program at www.marrow.org. Most donors are screened with a cheek swab, however blood draw will ultimately be required. Parents of a child who needs a bone marrow transplant should speak with the treating doctors about the most efficient process at the hospital where the c...
Mar 24, 2011 in the Pediatric Transplant Expert Forum - 1
Hi Christina - very sorry for the delay in response I've had some technical difficulties To give a more specific answer I would still need more information in what way the heart is undeveloped. the normal structure of the heart includes 4 chambers and valves, there can be missing parts, or malformed parts, or abnormal openings between the chambers. T...
Feb 16, 2011 in the Pediatric Transplant Expert Forum - 3
Hi again, I apologize for the delay in this reply. other factors that would influence decisions about drug dosing could include many things, common factors of interest would be kidney function, infections, history of autoimmune disease (if any). I think that the trials will produce useful information in the next 5 years or so. As for his bowel motion, gr...