Flesh-eating bacteria found in swimmer who was at Cape Cod beach
According to the Centers for Disease Control and Prevention, some species of Vibrio, such as Vibrio vulnificus, can cause severe and life-threatening infections, even necrotizing fasciitis, or "flesh-eating disease."
The Falmouth case was confirmed by local and state officials on Aug. 8.
The disease has surfaced in Florida and Louisiana this year.
Louisiana has reported the highest number of Vibrio vulnificus infections in a decade, with 17 reported cases and hospitalizations, including four deaths, as of July 30. This is compared to the 10 years prior, which saw an average of only seven cases and one death a year during the same time period.
Florida has likewise reported four deaths caused by Vibrio vulnificus infections as of July 24. The state has counted 13 total cases, a rate that isn't necessarily abnormal at this point in the year, according to Florida health data.
An average of 150 to 200 cases are reported each year, with most of them in Gulf Coast states, according to CDC data.
Vibrio vulnificus is a naturally grown bacteria found in coastal and estuarine waters — a mixture of fresh water and salt water - and can be detected in warmer waters, according to the statement.
Old Silver Beach is not closed and there are no advisories in effect, according to the town. Falmouth beaches are monitored for fecal bacteria by the Barnstable County Bathing Beach Monitoring Program, however, there is no way to monitor bathing water for Vibrio vulnificus.
The bacteria is rare in Massachusetts, but is slightly more likely in late summer and early fall when water temperatures are warmest, according to the statement. More cases of Vibrio vulnificus are being reporting in the north than in previous decades, which scientists attribute in part to climate change.
The town asked individuals to avoid swimming or going into water with open cuts, scrapes, or fresh tattoos or to cover the wound with a waterproof bandage. Also rinse any wounds with soap and fresh water after contact with coastal waters and seek medical care quickly if the wound becomes red, swollen, painful or is accompanied by fever after seawater exposure.
A Vibrio vulnificus infection can occur in at-risk individuals swimming in sea water with an open wound, according to the statement. The bacterium can cause illness through open wounds or consumption of raw or undercooked seafood. Cases of Vibrio were spotted in oysters in Wellfleet back in 2017.
At-risk individuals could include people with liver disease, diabetes, weakened immune systems, chronic illnesses, pregnant women, old adults and young children, according to the statement. Wound infections and eating raw seafood can put these individuals at greater risk.
For more information visit the CDC or Mass.gov.
Material from USA Today was used in this report.
Desiree Nikfardjam is a reporter covering breaking and trending news. She graduated from Columbia University's Graduate School of Journalism. You can reach her at DNikfardjam@gannett.com.
Thanks to our subscribers, who help make this coverage possible. If you are not a subscriber, please consider supporting quality local journalism with a Cape Cod Times subscription. Here are our subscription plans.
This article originally appeared on Cape Cod Times: Case of rare, flesh-eating bacteria reported on Cape Cod
Solve the daily Crossword
Hashtags

Try Our AI Features
Explore what Daily8 AI can do for you:
Comments
No comments yet...
Related Articles
Yahoo
2 hours ago
- Yahoo
The 13 Foods That Could Save Your Kidneys and Your Wallet
Your kidneys work quietly in the background every day, doing far more than most people realize. They filter waste from your blood, keep fluid levels balanced, help regulate hormones and play a role in everything from managing blood pressure to supporting healthy energy levels. Despite being so important, kidney health often does not get the attention it deserves. According to the CDC, more than 1 in 7 adults in the US are living with chronic kidney disease, and many are unaware they have it. That is why daily care and early prevention matter so much. Looking after your kidneys now can help them keep doing their job for years to come, and a few small, consistent habits can make a big difference. Don't miss any of CNET's unbiased tech content and lab-based reviews. Add us as a preferred Google source on Chrome. Fortunately, you don't need to make dramatic lifestyle changes to support kidney health. Incorporating a handful of nutrient-rich superfoods into your regular meals can make a significant difference. These foods help reduce inflammation, support healthy blood flow, and ease the load on your kidneys so they can keep doing their job. If you're looking to give your kidneys the boost they need, these 13 simple additions to your diet are a great way to start. Your diet and gut health also play a major role in your wellness, especially when it comes to keeping your kidneys healthy. There are 13 superfoods you should keep in mind when considering natural ways to give your kidney health a boost. Read more: 6 Important Blood Tests You May Need for Your Overall Health Best Meal Delivery Services See at Cnet 13 superfoods for kidney health 1. Cabbage This nutrient-dense vegetable is low in both potassium and sodium while packing in fiber, vitamins C and K and more. Plus, cabbage is versatile. You can use it in salads and slaws, but you can also use it as a wrap for tacos, sandwiches and more. 2. Fatty fish Fish delivers protein, and when you choose a fatty fish like tuna, salmon or trout, you're also getting omega-3 fatty acids. Omega-3 fats may help reduce fat levels (triglycerides) in the blood and may also lower blood pressure, according to the National Kidney Foundation. If you have CKD, you may need to keep an eye on the phosphorus and potassium levels of the fish you choose. The National Kidney Foundation has a chart you can use to determine levels in specific types of fish. Although, it's best to consult with your doctor. 3. Bell peppers Like cabbage, bell peppers pack in lots of good nutrients with low levels of potassium. With them, you get vitamins B6, B9, C and K, plus fiber. They deliver antioxidants too. You can slice them and eat them with dips or roast them and add them to dinner. 4. Cranberries Cranberries help to prevent urinary tract infections. These usually stay in your bladder, they can travel up to your kidney, making kidney problems worse. Fortunately, regularly consuming cranberries can help you avoid this unwelcome situation. Plus, cranberries have antioxidants that can help fight inflammation, and they can boost your heart and digestive health. It turns out, these tart berries aren't just for the Thanksgiving table. 5. Blueberries We've talked about some of the best foods for kidneys, but you can take it a step further. The question is: What foods help repair kidneys? Blueberries deliver. With high levels of antioxidants and loads of vitamin C and fiber, blueberries are all-around healthy. They can also help to reduce inflammation and support bone health, reversing some of the issues that can come with CKD. 6. Dark, leafy greens There are plenty of reasons to turn to dark, leafy greens like spinach or kale. They deliver so many nutrients that they can help you get key vitamins and minerals, plus immunity-boosting benefits. Be advised that greens can come with a decent amount of potassium. If you have CKD, talk to your doctor before adding more of these to your diet. 7. Olive oil Rich in antioxidants and healthy fatty acids, olive oil can boost your overall wellness. A study from Harvard University found that olive oil may lower cholesterol levels and the risk of cardiovascular disease, dementia and some types of cancer. Beyond all this, it can help you add flavor to dishes without turning to salt or butter. To get more antioxidants, choose unrefined or cold-pressed olive oil that's virgin or extra virgin. 8. Garlic Another antioxidant-rich, inflammation-fighting food, garlic also contains a specific compound called allicin. For people with CKD, allicin — an active compound found in garlic — worked just as effectively to help protect kidney health as a prescription drug. If you're looking for the best foods for your kidneys, garlic has to make the list. Plus, it's an excellent way to add flavor when you're skimping on salt. 9. Onions From the same family as garlic, onions give you another excellent and salt-free way to add flavor (bonus points if you saute them in olive oil). Onions also deliver important nutrients like vitamins B6 and C, manganese and copper. They also contain quercetin, a chemical that can help your body fight cancer, and organic sulfur compounds that can reduce your risk of high blood pressure, stroke and heart disease. 10. Cauliflower Cauliflower brings the crunch, paired with plenty of vitamins C, B6, B9 and K, along with fiber. It also contains compounds your body can use to neutralize certain toxins, a big help when your kidneys aren't doing their best filtration work. Cauliflower does contain some potassium and phosphorus, though, so while it makes the list of foods good for kidneys, people with CKD may want to moderate their intake. 11. Egg whites Egg whites are specifically recommended for people with kidney problems. They give you a way to increase your protein levels -- which can be important with later-stage CKD, especially if you're on dialysis. 12. Arugula Arugula is packed with nutrients your body needs like magnesium, iron, calcium and vitamins A, B9, C and K. Plus, it's antioxidant-rich and has glucosinolates, which can help your body protect itself against a range of cancer types. You can eat arugula raw (it's a great salad base), but you can also sprinkle it over whatever you're whipping up. It's great on pizzas, in omelets and with pasta, for example. 13. Apples Apples deliver the cancer-fighting quercetin and fiber that can help to keep your cholesterol and blood sugar at healthy levels. They've got plenty of antioxidants. Better yet, they're easy to work into your diet. Leave a bowl of apples on your counter and you'll have a kidney-healthy, grab-and-go snack whenever you need one. Solve the daily Crossword
Yahoo
4 hours ago
- Yahoo
Yes, the Military Sleep Method can help you fall asleep in just 2 minutes — but there's a catch
When you buy through links on our articles, Future and its syndication partners may earn a commission. Unless you're lucky enough to naturally fall asleep shortly after your head hits the pillow, it's likely you've struggled to fall asleep at some point in your life. Whether as a result of stress or anxiety, noise (snoring, anyone?), a poor sleep environment or something else, not getting to sleep quickly affects many of us. In fact, the most recent CDC data showed that 14.5% of Americans struggled to get to sleep most days or every day over 30 days. So it's no surprise that the Military Sleep Method has gained popularity, particularly on social media. This sleep hack claims to help you fall asleep within two minutes, but there is a catch that many people might not be aware of when they see TikTok posts praising its effectiveness. Here, we're speaking to an expert to explore what that the Military Sleep Method is, how you can help make it more effective for you, and other sleep techniques (aside from making sure you're sleeping on the best mattress for you) and tech you can try tonight. What is the Military Sleep Method? Unsurprisingly, given the name, the Military Sleep Method is a sleep hack first employed by the US military in order to assist soldiers in falling asleep more quickly. "The Military Sleep Method is a relaxation technique reportedly developed by the U.S. Navy during World War II to help pilots fall asleep quickly, even under noisy, stressful conditions," says licensed clinical psychologist specializing in sleep and trauma, Dr. Leah Kaylor. "It was popularized in the 1981 book Relax and Win: Championship Performance," she explains. Written by Lloyd 'Bud' Winter, the book details the Military Sleep Method and how it can help you sleep in just two minutes. The Military Sleep Method is a relaxation technique reportedly developed by the U.S. Navy during World War II. It works by guiding you through full-body relaxation and mental quieting. Dr. Leah Kaylor, Ph.D. MSCP One of the big draws of the Military Sleep Method, is the claim that you may have seen in viral TikTok videos, which is that it can help you fall asleep in just 120 seconds. "It works by guiding you through full-body relaxation and mental quieting," explains Dr. Kaylor, who briefly explains the process: "First, you relax your face (including jaw and eyelids), then drop your shoulders and let your arms go limp. You exhale fully, relaxing your chest, then move down to release tension in your legs. Finally, you clear your mind for about 10 seconds—either by visualizing something calming," she tells us. This can be lying in a canoe on a still lake with a clear sky, or in a velvet hammock in a completely dark room. If your mind wanders, try repeating the phrase 'don't think', says Dr. Kaylor. "This reduces muscle tension, slows your breathing, and quiets mental chatter, all of which help trigger your body's natural sleep response," she explains of how the method works. So... what's the big catch? Falling asleep in two minutes certainly makes the Military Sleep Method sound like a dream fix if you're having trouble dropping off. But there is a drawback to this method, which Dr. Kaylor explains to us. "The catch is this takes weeks if not months of consistent nightly practice to master," she says. The method is said to be effective for 96% of people within a period of six weeks. Our Senior Sleep Editor, Certified Sleep Science Coach Claire Davis, has been practicing the method for several years and finds it an effective way to fall asleep within a few minutes, but she acknowledges that it won't be a way to drop off in such a short amount of time without practice (and certainly not on the first few attempts). How can you make sure the Military Sleep Method works for you? Sleep hacks like the Military Sleep Method can help you fall asleep faster, but they're likely to work best if you practice them while also paying attention to your sleep hygiene and nighttime routine. "Over time, this builds a strong 'sleep signal' so that when you start the Military Sleep Method, your body is already primed for rest," explains Dr. Kaylor. Perfect your sleep environment Part of the Military Sleep Method is imagining you're somewhere relaxing, like on a canoe or in a hammock in a dark room. It's likely this is going to be more effective if your sleep environment is already primed for a good night's rest. "Make your bedroom dark and cool," says Dr. Kaylor. The best temperature for sleeping, according to recent research, is 65 to 70°F (18 to 21°C), so it's worth adjusting your thermostat to within that range. You could also take a look at our guide the best cooling mattresses, which are all designed to help you avoid overheating at night. And, if you don't have a pitch black bedroom (who does?), consider blackout blinds or a sleep mask (check out our favorite for 2025 here). Avoid consuming certain things before bedtime This is a tip we've shared plenty of times before, but it bears repeating. "Avoid caffeine and alcohol in the evening," says Dr. Kaylor. Caffeine's half life means that it can stay in your system for five, six, or even up to 12 hours, though this will depend on your individual physiology and lifestyle. Experts generally advise that it's wise to stop consuming any source of caffeine around eight hours before bed. Alcohol might feel trickier, since we often indulge in a glass of wine with dinner, or drinks in the evening. And while the sedative effect it provides might give you the illusion that you're falling asleep faster after a few alcoholic beverages, your REM sleep can be delayed and disrupted, and later as the alcohol is metabolized, you can spend more time awake or in the lightest sleep stage, meaning you're not getting enough full sleep cycles to enjoy the restorative effect of sleep. Focus on your nighttime routine "Create a relaxing wind-down routine like stretching, reading, or light journaling," advises Dr. Kaylor. While a nighttime routine might conjure memories of childhood, it's actually a really effective way of signaling to your mind and body that it's time to relax, and it can then help you to drift off more quickly. Generally, it's sensible to allow an hour before bedtime for this routine, and to select activities that you personally find relaxing. Those might be the suggestions Dr. Kaylor provided above, or listening to calming music or having a warm shower or bath, for example. Sleep hacks that can help you fall asleep faster tonight While the Military Sleep Method is certainly worth investing the time in to master, if you want a few additional tools in your sleep kit that can assist you in dropping off more quickly tonight, we've got you. "If you want something that works right away, try a 4-7-8 breathing exercise, progressive muscle relaxation, or listening to calming audio like white noise or guided meditation. Lowering the lights an hour before bed, avoiding screens, and keeping your bedroom cool can also help you fall asleep faster tonight," advises Dr. Kaylor. Our Sleep Features Editor, Lauren Jeffries, has tried nine sleep hacks that claim to help you fall asleep fast, and found cognitive shuffling to be among those she found effective. What sleep tech can also help you fall asleep fast? Adopting sleep hacks and methods like those we discuss above are great tools, but sleep tech designed to improve your slumber can also help too. We've selected three items you might want to consider... 1. A sleep mask In an ideal world, we'd all have a completely dark sleep space, largely because darkness helps stimulate the production of melatonin (the 'sleepy hormone,') from the pineal gland, while light suppresses it. Since that's not always possible, investing in a sleep mask, can block out light and help you drop off more swiftly. What you pick depends on your needs (and your budget). High tech options include the app-controlled Aura Smart Sleep Mask (pictured, MSRP $229), which promises to block out 100% of light and has speakers built in so you can listen to one of Aura's sleep sounds as you drift off. Alternatively simple satin sleep masks can often do the same job of keeping out light for a fraction of the price; many are available for around $10. 2. A smart bed If you want to really upgrade your bedroom in your quest to fall asleep fast, smart beds including the Eight Sleep Pod 4, the Saatva Solaire and the Sleep Number i8 (all of which feature in our guide to the best smart beds and smart mattresses available) can offer features like dual temperature control (meaning each side of the bed can be set to a different temperature), and adjustable firmness (the Solaire has 50 firmness settings!). Typically app-controlled, smart beds are high quality and packed with the latest sleep tech to help you customize your sleep experience in order to fall asleep as easily, quickly and comfortably as possible. They do have a price tag to match, the Eight Sleep Pod 4 starts at $2,649 MSRP, while the Saatva Solaire starts at $2,999 (was $3,299) for a twin XL. The Sleep Number i8 (pictured) is currently on sale for $2,549.25 for a twin, but the MSRP is $3,399. 3. Ear plugs If the sound of snoring, late night revellers, traffic or roommates clanking around the house doesn't lull you to sleep or disturb your rest, you're lucky. Because research has shown that "nocturnal noise pollution significantly impairs sleep." A generally affordable piece of sleep tech that can combat unwanted noise pollution at night is the humble ear plug. Our sleep editor swears by the Loop Dream Ear Plugs (pictured, $49.95 MSRP) which are designed for sleep, made from silicone and silicone-foam tips, and offer 27 dB (SNR) of noise reduction. A more affordable option is the silicone Kaugic Ear Plugs for Sleeping, which are currently available for $9.99 on Amazon, and according to the production description, 'reduce harmful noise level up to 30dB.'


CNN
6 hours ago
- CNN
How pediatricians are quietly preparing immigrant families for the unthinkable: leaving their children behind
On a warm June day in Nashville, Briana cradled her one-year-old son in the pediatrician's waiting room. She was there for his routine checkup, expecting to talk about vaccines and growth charts. Instead, as Briana bounced her baby on her lap in the exam room, Dr. Linda Powell leaned in and asked a question that stopped her cold: If you were taken away, who would take care of your baby? It was a conversation Briana never imagined having in a doctor's office even though as an undocumented immigrant, the concern hit close to home. Just weeks earlier, her husband — the family's breadwinner — had gone to Walmart to buy sugar. He never came home. The next time she heard his voice, he was calling from a Louisiana immigration detention facility. Briana, 32, had no warning. She learned later he had been swept up in an Immigration and Customs Enforcement raid in Nashville, part of a broader campaign of mass arrests across the country. Within a month, he was on a plane back to Guatemala, recounted Briana, who requested use of a pseudonym due to concerns about retaliation. The life they had built together – modest but steady – fell apart overnight. Suddenly alone with no income, no transportation and no family nearby, Briana began taking whatever work she could find — selling ice cream on the street, cleaning homes. Her toddler missed his father so much he refused to eat, pushing away food for days afterwards, she told CNN. And Briana lived with a gnawing fear: that she, too, could be detained by ICE, leaving her US-born baby boy alone. So when her pediatrician – who has cared for the boy since birth – gently suggested she create a legal guardianship plan, Briana listened. The doctor explained Briana could draft a simple document allowing a trusted friend to care for her son if she were detained. She connected Briana with a local nonprofit that helps immigrant families prepare guardianship paperwork – a legal arrangement to ensure her son wouldn't end up in foster care if she were also detained. Briana made an appointment, determined to put something in writing. But the only person she could think to name as guardian was an undocumented friend she'd met just months earlier. It was a choice made out of desperation. She fought back tears as she explained, 'I'm worried, I'm scared because they (ICE) keep grabbing people outside. But I have a lot of faith in God.' Briana's predicament is far from unique. She is one of millions of parents facing the possibility of sudden separation from their children. Briana's son is one of an estimated 4.7 million US citizen children living with at least one undocumented parent, according to a 2025 Brookings Institution report. And about 4% of all citizen children in the US are at risk of losing both parents to deportation – sometimes without a chance to say goodbye. Mass deportations under President Donald Trump's second term have created an unlikely new responsibility for pediatricians — protectors of those children's futures. Long trusted by parents to safeguard children and trained to navigate sensitive topics, pediatricians are quietly initiating some of the hardest conversations of their careers: If you're detained, who will care for your child? Many of the people who spoke with CNN for this story requested use of pseudonyms out of concern for their safety and privacy amid widespread immigration raids. In exam rooms from California to Tennessee to New York, pediatricians shared with CNN how they are privately helping parents think through guardianship options – sometimes in hushed tones after the children have left the room. They connect families with legal aid nonprofits, explain options like caregiver affidavits and power of attorney and urge parents to make arrangements before an emergency. 'These people (immigrants) are being scooped up and taken without any warning,' said Powell, who is using a pseudonym out of concern for potential retaliation against the patients at her practice. 'This poses a significant risk to these kids. One in terms of just the psychological trauma of your parents being taken without notice and not knowing when you will see or talk to them again, but also just in terms of the safety and health of these kids.' Every day before school, a 10-year-old boy in San Francisco asks his mother the same question: Will we see each other again? The boy's mother, originally from Guatemala and seeking asylum in the US, says she tries to reassure him, but she's anxious too. She had received deportation notices in her mailbox, she later revealed to his pediatrician. During a routine food insecurity screening, Dr. Raul Gutierrez, former chair of the American Academy of Pediatrics Council on Immigrant Child and Family Health and pediatrician at Zuckerberg San Francisco General Hospital and Trauma Center, discovered the family was surviving on food bank donations rather than enrolling in the state's CalFresh benefits. The reason: the mother feared that applying could bring unwanted attention from immigration authorities. For over 20 years, Gutierrez has been helping families like hers create 'preparedness plans' in case of separation. He likens them to earthquake drills. 'As much as we can clarify and support families in these really hard decisions, the better we can try to mitigate some of these fears and anxieties,' said Gutierrez, who is using his real name. For doctors like Gutierrez, protecting children from the chaos outside the clinic walls is as wrenching as it is necessary. 'Health care workers are in a very unique and opportune position … to support families in guidance, to do it with compassion and to really advocate for safeguarding children and to help families navigate this uncertainty,' Gutierrez said. Often, these conversations begin when a parent's anxiety surfaces during a routine screening. Like other pediatricians who see families regularly and know their histories, Gutierrez has built relationships with parents who will share details they would never tell a stranger – like fears about applying for food assistance or hesitation to run daily errands during weeks of raids. His process is methodical – he walks parents through a step-by-step handout from the Immigrant Legal Resource Center and asks direct but sensitive questions: Who are the trusted people around you? What kinds of decisions do you want to make about your child? Will they stay here in the US, or join you if you're deported? How can we ensure you're reunited? Even for families with relatives nearby, the uncertainty can be overwhelming. In California, one in five children are part of mixed-status families, according to a 2024 report from child health equity advocacy group the Children's Partnership. Chronic stress from the threat of separation can harm those children's mental and physical health, according to Gutierrez. For children with complex medical needs, the stakes are even higher. Losing a parent who manages appointments, insurance and medications can disrupt treatment and trigger lasting harm. It can mean missed therapies, disrupted medication regimens and long-term emotional scars. 'There are plans in place to make sure that that child is supported by some other adult: someone who is given the authority to make decisions about school and medical care,' Gutierrez said. 'We really want to make sure that kids don't fall victim to being in a place of instability or to lose access to their care.' When the undocumented father of a 2-year-old girl with Down syndrome was asked by her pediatrician who could take care of her in his absence, he replied bluntly: 'Everyone else around us is the same.' She understood instantly – everyone he trusted was also undocumented. Choosing a guardian felt impossible. Dr. Nancy Fernández, who has treated immigrant families in New York City for five years, says the relationships she builds with patients are key to having these conversations. 'People just know that you care about them because you've shown up in many other situations over the years,' said Fernández, who is using a pseudonym to protect her patients from possible retaliation. In her practice, where 90% of her clients are immigrants, Fernández avoids asking directly if someone is undocumented; instead, she asks if they've been affected by recent ICE raids. She assures them the conversation won't be documented in their medical records or impact medical care. But the fear in her patient population is still palpable. One teenager at the clinic overdosed on Tylenol after panicking that her father would be deported. A 10-year-old boy began asking his mother if his dad should stop taking the subway to avoid detection. 'What should I say to my kid?' the mother asked Fernández. In those moments, Fernández said she realized how much of the burden children of undocumented parents are quietly carrying. Doctors in Fernández's network once hoped letters documenting the medical harm separation could cause would persuade ICE to exercise leniency. But after writing many such letters, Fernández hasn't seen evidence they work nor has she received any responses. 'We're trying to do something to help our families, but I'm not sure that it's really that helpful in this moment in time,' she said. In the Bronx, sign-up rates for guardianship workshops at nonprofit Terra Firma National were so low that they forced the organization to incorporate the topic into broader immigrant rights sessions. 'With our families, there's been a lot of trepidation, a lot of anxiety in even thinking about this concept of having a family separation due to ICE taking a parent away,' said Dr. Alan Shapiro, Terra Firma's co-founder and chief strategy officer. Shapiro is identified by his real name. Daniel, a 58-year-old undocumented hotel worker who has lived in the US for nearly 30 years, stopped sleeping at night when ICE raids began in Nashville this spring. Instead, he said he would toss and turn in his bed, kept awake by thoughts of being separated from his family and kicked out of his home with just one knock on his door. For the first time in his life, the Guatemalan-born father of four said he began experiencing anxiety so crippling that he needed medication. 'I feel something like a void inside of you, like a vacuum that's sucking you somewhere,' said Daniel, who requested a pseudonym out of concern for possible retaliation. Daniel's life before the raids had been steady: cleaning offices at Belmont University, then working at a hotel for the last 12 years. He and his wife raised their children with weekend trips to parks, beaches and aquariums. But after the first arrests, even grocery shopping became something only his children would do. And Daniel prayed daily he'd be able to return home from work. 'If it was just me, it would be one thing, but I have a family and kids and their well-being is in jeopardy, and that's terrifying,' Daniel said. With his wife also being undocumented, the question of who would care for his youngest son, 11, haunted Daniel. In early May, more than 100 people were detained in a joint operation between ICE and the Tennessee Highway Patrol. The fear that rippled through the city's immigrant neighborhoods in the weeks that followed had noticeable impacts: At Nashville's Siloam Health, where Daniel is a patient, cancellations surged to 40% — mostly from patients afraid to drive to the clinic. And at Powell's clinic, which serves mostly Hispanic immigrant families, appointment attendance dropped by half during the surge in raids. That means missed vaccines, delayed newborn checkups and untreated illnesses. 'There's always been barriers for those families in terms of navigating a health care system in a country that is unfamiliar to you and in a language that you're trying to learn,' Powell said. 'What's going on with ICE has just added another layer of difficulty, because now we have families that are just truly scared.' The Tennessee crackdown is part of ICE raids that have intensified across the country since January: parents are being detained at home, at work and even during routine traffic stops. Often, they have no chance to say goodbye to their children or arrange child care, pediatricians told CNN. Without a plan, children can be placed in foster care or with unfamiliar guardians chosen by the state. CNN has reached out to ICE for comment. 'For every 10 people that are deported, there may be 20 American children that are dependent on that adult,' Powell said she has observed at her practice and throughout the Nashville area. When Daniel confided in his doctor at Siloam Health about his fears, he was given a 'know your rights' card and advised to complete custody paperwork. He and his wife signed a power of attorney naming their 28-year-old daughter as guardian for their youngest son. But for many others, just imagining separation is overwhelming. Dr. Jule West, chief medical officer at Siloam Health, says she can often see her patients' fear manifest physically in real time the moment the topic arises: 'You can see their bodies tense up. You can see their respiratory rate go up a little. They become more agitated,' said West, who is using her real name. 'I see in people's eyes that it's very overwhelming, and they're already concerned with their safety, their family's safety, their children's safety.' That visible fear is often enough to stall the conversation before it begins. West says that for many of her patients, even talking about guardianship plans feels unbearable because it forces them to imagine a sudden and traumatic separation from their children. Some parents say they don't have anyone with legal status to name as a guardian. Others have options but feel paralyzed by the idea of entrusting their child to someone else. Despite the urgency, many parents don't formalize custody arrangements. The thought of preparing for separation feels like inviting it. For others, logistical barriers — like long wait times at overburdened nonprofits — stand in the way. And efforts by doctors to advocate more broadly – such as distributing 'know your rights' cards, mailing supportive letters to families or hosting informational sessions – are sometimes blocked by hospital leadership wary of political backlash, some pediatricians told CNN. Still, pediatricians persist – some after witnessing the consequences of family separation firsthand. Shapiro shared a case involving one of his patients during Trump's first term. He said an 8-year-old boy with a severe learning disability was placed in foster care after his mother was deported to Guatemala. When he called her for her son's medical history, she broke down, unsure if she'd ever see her son again. 'It was probably one of the most heartbreaking moments in my 35-year career as a pediatrician,' he said. The boy was eventually reunited with extended family in the Midwest, Shapiro said, but he worries about the long-term impact on both mother and child. Now, he discusses guardianship planning in the same breath as diet and exercise guidance, marking a profound shift in what anticipatory guidance means. He often has the child wait outside the room with a book as he privately asks parents a question that is now as routine as asking about car seats, smoke alarms or safe sleep. Shapiro reflects on the shift: 'I never thought anticipatory guidance would include anything like this … where we have to have parents prepared for their deportation and for their children to be placed with other family members.' For families like Briana's and Daniel's, those conversations could be the difference between a child finding safety in familiar arms or facing the chaos of the foster system. Daniel takes some comfort knowing his daughter will care for his youngest. 'Thank God, it is a relief to know of the well-being of my youngest kid,' Daniel said. But the future remains uncertain for Briana, who still hasn't completed her son's guardianship paperwork. After hours of waiting, she left the legal aid office to make it to work. If deported, she plans to take her baby with her to Guatemala. But she is still working to get her son a passport. For now, she pushes forward, faith in one hand and her baby in the other. 'Every day I go outside with faith in God,' she said in Spanish. 'And I just go out to work to make money for my son.' CNN's Caroll Alvarado and Jamie Gumbrecht contributed to this report.