I’m not sure I’ve ever been great at being still. As a kid, I joined one activity after another. Not because my parents told me I should. I just liked it. Staying busy. But, I could concentrate. Quiet the mind. I’d sit and read for hours on end or close my eyes and listen to a cassette tape from beginning to end. Even through busy high school and college years, a ...

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As a pediatrician at a busy county clinic with close proximity to pediatric specialists, I care for a significant number of children with special health care needs. Instead of colds and ear infections (though there are those too), my days are often filled thinking about gastrostomy tubes, tracheostomies, and ventriculo-peritoneal shunts. I sign orders for specialty formulas and nebulizer machines. Many of my patients have thick charts and diagnoses like ...

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People often ask how old my son is when we are out and about. When he proudly says, “Two!”, the most common response is a smile to him ... and a knowing glance to me. This is often accompanied by, “Oooh, the terrible twos!” I’m here today to stand in the defense of two-year-olds. Sure, they have their share of tantrums and the transition from infant to preschooler is sometimes a ...

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I recently took call on the pediatric ward. Our team was caring for a young patient facing a new diagnosis of a chronic illness. In addition to stabilizing her symptoms, coordinating care with her new specialist, and managing her medications, I also see it as our job to make sure she and her family start to understand what is going on and what this diagnosis means for her. How does this ...

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It happened again three times in clinic today.  In the middle of a patient visit, a parent picked up their cell phone.  To answer a call, to text a friend, to read their email.  The trend of being always connected and available has reached the exam room.  When this first started happening I was sort of incredulous.  I mean, I’m there, talking to you about your child’s health, and you’re ...

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