When we moved to Irving, TX and I decided to join a practice in nearby Lewisville, I realized I wanted to know more about the schools in the area and get a feel for the culture of the teachers that would be teaching my patients and kids.  I searched online and found great and encouraging information about Carrollton-Farmers Branch, Irving and Lewisville school districts.  I also looked up several teachers ...

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...

From MedPage Today:

  1. Google Glass in Medicine: Not Quite Ready Yet. A long list of potential medical applications for Google Glass was counterbalanced by an equally long list of obstacles to widespread implementation.
  2. Safety Net Hospitals Already Benefit from ACA. At Seattle's largest safety net hospital, the proportion of uninsured patients fell from 12% last year to an unprecedented low of 2% this spring ...

    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...

How crazy is it to drug babies? It was shocking enough to discover that 20% of teenage boys get labelled as having ADHD, and 10% are on stimulant medications for it.  That 11% of all kids aged 4-18 get the diagnosis of ADHD, and 6% the drugs.  That stimulant prescriptions and pharma profits are skyrocketing all around the world.  And that ADHD guidelines encourage making the diagnosis and starting the drugs ...

Read more...

A perspective that comes from continuity of care over many years. An awareness of local resources. A sense of who a family is. An appreciation of the things that give life meaning and value to a child and family. Isn’t this care a lot to offer families of seriously ill children? What happens to all of this knowledge when a child becomes more ill and spends increasing amounts of time ...

Read more...

I wouldn’t say I’ve had a lot of revelations in my professional life, but there is one that still affects me emotionally to this day, and it’s about nurses. I had been a PICU doctor for a number of years, and I was rounding on all the patients in the PICU with the rest of the team. The background sounds consisted of the usual beeps, alarms, and humming from the patient’s ...

Read more...

How to save my sons life: 20 high stakes minutes Once a year, I give a high-stakes presentation in front of a single audience member: my son’s teacher. I have 20 minutes to teach her how to save his life. I need to explain the science of food allergy, list all of his many allergens, accurately describe the symptoms of anaphylactic shock, instill an appropriate sense of urgency and responsibility with one ...

Read more...

From MedPage Today:

  1. Imaging May Aid in Predicting MS Progression. A measurement obtained through MR spectroscopy appeared to predict disability progression in multiple sclerosis (MS) patients.
  2. Invokana Monotherapy Promising for T2D Control. The SGLT2 inhibitor canagliflozin (Invokana) may be effective as monotherapy in type 2 diabetes patients who fail to control their disease with diet and exercise.
  3. Less Cardiac Screening May Suffice ...

    Read more...

The day my brother became a statisticThis article was originally published on May 12, 2014 in MedPage Today's Ivan Today. My brother would have turned 37 today. But he didn't. On January 9, 1995, he died in a car accident, at the age of 17. That was the day he became a statistic. I don't usually need any reminders this time of year. If I somehow forget, May 12 is ...

Read more...

Most Popular