
Twins Juniper ‘June’ and Hazel’s mom, Katie Harmston, was the first Fetal Care and Treatment Center patient to undergo a laser ablation procedure for TTTS.
Katie and Nic Harmston were distraught as they drove to Kaiser for an ultrasound in July 2021. Katie was six and a half weeks pregnant but was experiencing symptoms of a miscarriage. They both feared the worst.
The Harmstons held their breath as the ultrasound began. After a moment, the sonographer smiled and said, “We have a heartbeat.” Katie and Nic were nearly overwhelmed with relief. Then the sonographer said something unexpected.
“Hold on — there are two heartbeats!”
“We were shocked to find out it was twins,” Katie says. “I just started crying and laughing.”
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Across the country, children both young and old are preparing to celebrate another evening of Halloween, filled with costumes, activities, sweet treats and fun with friends. In fact, in 2021 alone, over 42 million kids between the ages of 5 and 14 went trick-or-treating, according to the latest data compiled by the U.S. Census Bureau.
But beyond the one night that adults will undoubtedly spot child-sized creepy crawlers scurrying along the sidewalks and near brightly decorated homes and in doorways, many actual insects and arachnids are also lurking all year long.
Parents and caregivers often have questions about what to do if their child gets bit or stung, and when to watch for signs of infection. On the Pulse compiled some resources below to help families stay safe and healthy.
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Update – February 27, 2020: It is our pleasure to share that the individual featured in this story now uses she/her pronouns and goes by the name Iris. She continues to be seen at Seattle Children’s Gender Clinic and advocate for gender affirming healthcare.
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In celebration of LGBTQ+ Pride Month, On the Pulse shares a story about 17-year-old Torin, a Seattle Children’s patient who battled cancer. After years of treatment and rehabilitation, Torin is now standing strong, yet continues to face challenges that come with identifying as gender non-binary. Torin talks about their struggle and overcoming oppression by not being afraid to express their authentic self.
From as early as Torin could remember, they used writing as a way of expressing emotion.
“I knew I loved writing when I wrote my first series of stories in elementary school,” Torin said. “They were about the adventures of ‘Pencil Man,’ a superhero who had the power to draw and erase things.”
Although Torin finds the plot of the story silly now, it serves as a poignant theme in their life.
Each individual should have the power to create their own story and be true to themself.
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4-year-old Ruby was born with biliary atresia and had a transplant in 2022 at Seattle Children’s
After receiving a life-saving liver transplant at Seattle Children’s, 4-year-old Ruby Josephine Mwamba is thriving and living a dramatically different life than she was at this time last year.
Ruby was born with biliary atresia, a liver condition that occurs when a baby’s bile ducts do not form normally and are unable drain bile. Bile is the liquid that helps the body break down fats, from the liver. When it doesn’t drain, it can cause scarring of the liver and yellowing of the skin and eyes called jaundice.
Ruby’s parents Melissa and Gabriel Mwamba learned about Ruby’s disease shortly after she was born. At only a few months old, Ruby had surgery to try to correct her condition, but unfortunately the relief was short-lived.
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10-year-old Stella is a patient at Seattle Children’s
Researchers at the Centers for Disease Control and Prevention (CDC) have teamed up with clinicians at Seattle Children’s to identify and evaluate the best urologic management for newborns and young children with spina bifida in a nationwide study called (Urologic Management to Preserve Initial REnal function (UMPIRE).
Launched in 2014, the multi-site, multi-year UMPIRE program aims to increase the understanding of kidney, bladder health and function, which are closely linked, in the early years. It also brings together a unique collaboration of doctors and nurses from more than 20 clinics across the country including Seattle Children’s Urology Program, which has been ranked among the top 10 pediatric urology programs the United States for the past three years by the U.S. News & World Report.
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Back-to-school is in full swing and with each new school year often comes new questions for many parents about their child’s health. For children with health conditions, understanding when and how to best communicate with teachers and school staff about a child’s medical needs, determining the proper amount of information to disclose, and identifying the right programs and services for students who need specially designed instruction or accommodation plans is important but can sometimes be puzzling.
Dr. Ashley Moss, a pediatric psychologist at Seattle Children’s, shares some key advice on how parents and caregivers can talk about their child’s health conditions at school.
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Flu season is here. Dr. Annika Hofstetter, whose research focuses on pediatric and adolescent vaccination, especially in high-risk populations, answered a few questions parents may have about the flu vaccine this year for On the Pulse.
Hofstetter is co-leader of the Maintenance of Certification Influenza Vaccination Project at Seattle Children’s and is a member of the Seattle Children’s Influenza Steering Committee.
Beginning Oct. 3, patients can get a flu vaccine during their visit at Seattle Children’s, including at a clinic appointment, urgent care or emergency department visit, or during hospitalization.
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On December 30, 2021, Kelsey Schleppy gave birth to her baby girl, Maleila. Within days of taking her home, Kelsey’s intuition told her something wasn’t right. Her family practice doctor assured her Maleila’s shallow breathing and lack of appetite wasn’t anything out of the ordinary, but Kelsey kept a watchful eye, nevertheless. Within a few days of bringing Maleila home, Kelsey noticed Maleila deteriorating rapidly one morning and made the decision to call 911.
By the time they arrived at their local hospital in Skagit Valley, Maleila no longer had a pulse. She was rushed into Emergency Department (ED) where the team performed chest compressions to resuscitate her. The team also needed to give her epinephrine, but the standard method of inserting an IV in a vein in her arm or leg wasn’t working.

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A child enjoys the new outdoor space at the Tiny Tots Development Center in Othello Square
A new outdoor space focused on nature-based learning is the newest addition to the 98118 ZIP code in Southeast Seattle’s Othello Square, one of the most ethnically diverse neighborhoods in the United States.
The Tiny Tots Development Center opened the first-of-its-kind outdoor classroom just before the start of the new 2022-2023 school year, funded by grants from Seattle Children’s and the PNC Foundation. The new open-air teaching space features trees, raised garden beds, natural bench seating, and hands-on activities that promote sensory-focused learning, and is part of a larger urban renewal effort in a historically underserved area with limited natural spaces.
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A three-part series featuring the medical directors at OBCC focused on integrating care and building community together

Christen Nicole Manangan, PHD
This is part three of a three-part series. In prior weeks, On the Pulse featured Dr. Kenisha Campbell and Dr. Kari Sims.
As a Pacific Northwest native, Dr. Christen Manangan always dreamed of working in the Seattle area.
“Seattle has always been my home,” Dr. Manangan said. “My hope, my dream, was always to serve the Seattle community.”
She joined the Odessa Brown Children’s Clinic (OBCC) nearly six years ago and now as the Behavioral Health Director, she feels honored to be a leader at a clinic with such an exciting future ahead.
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