In a recent post, I wrote about the value of a yearly checkup with your child’s doctor -- it can be a whole lot more helpful than a quick sports physical at the local quickie-clinic. You can be sure to get the most out of your child’s checkups with these tips. First, and most important at all, go to the visit. You’d be surprised how often children are brought by ...

Read more...

Your children deserve more than a minute at a clinic Yearly checkups for school-aged and older kids can be a great opportunity to help your child stay healthy. Don’t skimp by relying on a cheapo sports physical at a local drug store. They cannot offer the kinds of important things your own doctor’s office can do for your child at a yearly well check. We’ll review old issues and problems. Still getting ...

Read more...

You’d think, being land-based mammals, we’d all be able to agree on the basic fact that humans breathe air, and that newborn human babies ought to be born into the air.  You know, so they can breathe. That’s how human babies have always been born, and that’s how all other primates are born, and that’s how all other land mammals are born. (Hats off to our cetacean cousins for their ...

Read more...

I wrote recently about getting started with an evaluation for a child who’s not doing well in school. Don’t rush to just do ADHD testing: There are many reasons for attention problems, and it’s best to not just zero in on ADHD at the start. Still, there’s a time when confirmation and testing for an ADHD diagnosis is appropriate. What kinds of tests are available? A clinical history is, well, talking ...

Read more...

We’re living in a world or ratings. Books get rated on Amazon, dry cleaners get rated on Yelp. Doctors are getting rated, too -- not only on web sites, but also in ways that end up dictating how much money we can make, or whether we can keep our ability to work in a hospital. Is this a good way to improve medical care or medical outcomes? Is it ...

Read more...

Find yourself a physician who is stingy with prescriptions Antibiotic use is the direct cause of the rise of untreatable superbugs that are killing people. Antibiotic use is also the cause of most cases of C. diff colitis in kids, a potentially life-threatening, difficult-to-treat gut disorder. Antibiotics have also been linked with recurrent wheezing  in infants and inflammatory bowel disease. They can also trigger allergic reactions that can be severe ...

Read more...

In pediatrics, almost all of our patients are healthy. We’ve got some doozies of special-needs kids, but by-and-large your ordinary pediatric patient is doing well, and does not need extensive testing or elaborate procedures to ensure good health. Still, we do run across some occasional problems. Some children have poor vision, or hearing problems, or kidney disease, or hypothyroidism. Or autism, or Tay-Sachs Disease, or a penny up their nose. A ...

Read more...

As the Wall Street Journal reported, there’s a growing shortage of qualified pilots in the US, driven by both economic reality and federal policy. Pilots typically start their professional careers at small, regional airlines -- airlines that pay, approximately, fast-food wages. Less than that, really -- for for the hours they work, many pilots make less than minimum wage.  After a few years, these pilots have enough flight time and experience ...

Read more...

Stephanie wrote in about a very common problem:

My daughter is 4 years old. She isn’t the tallest cat in town (she is about the 15th-25th percentile for height), and her BMI always ends up being in the high range (like over 85%). I worry about it. I am very health conscious for myself and my family. We live by all of the "rules." And yet. The family doctor doesn’t worry -- ...

Read more...

Doctor: “Phil, you have pneumonia.” Phil: “Oh noes. What shall I do?” Doctor: “Just take these red pills, here.” Phil: “Great! I feel better already! When can I go back to work?” Doctor: “I think in about 2 weeks. Or maybe 2 months. And actually, don’t take those red pills -- these blue ones are better. It could take a few years for you to get better, and I’ll be retired by then. Here, ...

Read more...

6 Pages