Before you jump all over me, I have already outlined why I think we (doctors and medical offices) are the biggest part of the wait time problem. But, patients can help. Here are 3 ways you can help avoid long wait times at the doctor’s office. 1. Don’t request peak times during the day. Every office has busier times and not as busy times throughout the day. If you don’t know ...

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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 ...

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Toilet training can sometimes be a stressful process. This is particularly the case for children who achieve daytime dryness but continue to wet themselves, and the bed, overnight. It may leave you wondering what’s normal and what you can do to help your child. Nighttime wetting is one of the most common urologic conditions in childhood. The vast majority of cases are not related to a physical cause. Most commonly, nighttime ...

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When school boards fancy themselves health care providers I met Madelyn for the first time last month in clinic. Six months prior, she was an otherwise healthy 14-year-old girl. One afternoon, Madelyn’s phys ed teacher led a gym class aimed at completing fitness and health assessments on all of the children in the grade. One at a time, each child was asked to step up and onto a scale ...

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In this Daily Show segment, "An Outbreak of Liberal Idiocy," correspondent Samantha Bee likens the anti-vaccine crowd to right-leaning climate deniers.  I've been saying this for awhile: The anti-vaccine mentality crosses party lines.  Remember, Jenny McCarthy got her start from the progressive-leaning Huffington Post.

There is a new emerging health threat to our children: nicotine poisoning. The number of nicotine exposures in children reported to the National Poison Data System has more than tripled in the last year. Here’s the fact every parent should know: 1 tablespoon of nicotine oil can be lethal to a 60-pound child! When doctors were campaigning against tobacco companies through public health legislation, we did not foresee a resultant new market for ...

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As a parent, my words to and about my child will probably be one of the single most influential aspects of their development. Children learn to see themselves through their parents’ eyes, and what we tell them they are, they are likely to become. The labels we place on them often tend to be a self-fulfilling prophecy. I’ve seen this play out in my own life and in the lives of ...

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Top stories in health and medicine, June 20, 2014From MedPage Today:

  1. The Uninsured: 33 Million and Counting. In the last full year before the Affordable Care Act went into effect, more than 33 million Americans had been without health insurance for more than a year, according to CDC survey.
  2. Gross Anatomy: A Real Twisted Heart. It's nothing but heartache for ...

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Painful wait times at the doctor’s office.  It’s an old story with few exceptions. As a dad, I have to deal with many of the same issues of parenting that you deal with: sleepless nights , fevers and holding my kids down for shots (my wife did it once, I think, then she promptly retired from this job).  However, waiting at the pediatrician is not something I have to do.  So, I can’t truly empathize ...

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This quarter of medical school has by far been my favorite, because almost everything we do has an explicit clinical correlation. Each week we work in small groups of 10 or so students to go over patient cases, practice respiratory and cardiovascular (our two organ blocks this quarter) physical exam skills, and interface with real patients in the hospital. These experiences have been both exciting and humbling, and two in ...

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