NPR recently reported, “Measles makes an unwelcome visit to Disneyland.” Nine people who visited Disneyland theme parks in California over winter break had caught measles, almost all of them unvaccinated children. The next day, ABC reported that the number of cases has grown to 19. Of these, only two had been fully vaccinated. Some of the cases were too young to receive vaccines, others apparently chose not to get ...

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Ear infections (or, what we like to call “acute otitis media”) are one of the staple diagnoses of pediatrics. Most kids have at least one before their third birthday.  And most pediatricians see at least one every day by 11. You would think we would always get it right. But I have a confession -- we don’t. In fact, children are misdiagnosed and over-treated at an alarming rate. There are several reasons for ...

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Our children will never be the sole judge of our job as parents of course. We are likely our own closest and most fastidious critic. And really it’s just us (and our partners) that can truthfully reflect and evaluate how it goes as we raise our children -- what our hopes were when we started on the journey of raising another and where we find ourselves. And so, however radiant the ...

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For years, my husband and I have argued about how to dress the kids for cold weather (given that we have five kids ranging in age from 23 to 9, this argument truly has been going on for a while). He says I don't dress them warmly enough. I say he overdoes it. After all these years, I still think I'm right. But that doesn't mean I don't appreciate the way ...

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The action steps, in any health emergency, are: ABC. Airway, breathing, circulation. The airway has to be open, the patient has to be making an effort to breathe, and the heart has to pump blood. In any emergency, health care people are trained to address these, one by one, in order. Fix what you can before moving on, and concentrate on what’s going to kill the child first. Then, arrange ...

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seagull The day before I began my second year of medical school, I spent the day at the beach with my daughter, who had just celebrated her third birthday. Most of my classmates had spent their “last summer ever” traveling or doing research, but I had chosen to take the time off to make up for some of the family time I ...

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Our current health care system will fail; it’s simply a matter of time.  Yet the delivery of efficient, quality, and progressive health care is quite possible once we shift our thinking.   A true paradigm shift in medicine begins with first establishing that each pillar in health care has an equal responsibility in making a new system work:  patients, providers, and places (facilities). This article pertains to only the provider portion. As ...

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A woman delivered a baby boy at 30 weeks’ gestation at a Boston hospital.  After birth, the infant required a ventilator for 3 days.  The family visited every day, traveling over 45 miles each way, for the first 2 weeks of their baby’s life.  After her husband went back to work, the mother  visited infrequently because she relied on friends and family members to transport her to the hospital as ...

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shutterstock_115992457 Look here: I am a breastfeeding supporter. I regularly help new moms breastfeed successfully, and I even took a special class to learn how to do a brief procedure to help babies overcome breastfeeding problems caused by tongue-tie. I’ve got a happy breast support sticker, right on my AAP card. But I think honesty is (or should be) the breast policy. Some ...

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shutterstock_182289464 I see it all the time at our practice. Parents come with kids who really don't need to go to the doctor; they are only mildly ill, or already getting better. When I ask them why they came, the answer is simple: daycare. They need a note saying the child is better in order for the child to go back. They need ...

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