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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Being sick isn’t easy, but neither is being the sibling of someone who’s sick. We’ve shared many stories about children who are living with a serious illness. We’ve talked about their disease, what life is like for them, how they cope in such dire circumstances. But in all of these conversations, one thing we’ve overlooked is telling the stories of the brothers and sisters who sometimes feel that they live in ...

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shutterstock_115541389 Every new parent has heard the dire warning: Never sleep with your baby. State and local health departments in Massachusetts and around the U.S. have prioritized this message. Millions of dollars have been invested in promoting it, and millions more spent on giving away cribs to poor families. It all comes from the official recommendations of the influential American Academy of Pediatrics published ...

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shutterstock_190924184 I’ve wanted to be a physician for as long as I can remember.  As a teen, the choice to become a doctor seemed to perfectly meld my affinity for science, academics and helping others.  Better yet, pediatrics offered the ability to work with families and children of all ages and developmental abilities. For fifteen years, I lived, breathed, and worked toward my ...

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She was absolutely perfect.  She had ten perfect fingers and ten perfect toes.  Her eyes were wide and curious and drew you in fondly. She was absolutely perfect everywhere -- everywhere except for her nose and mouth. She was born in 1959 with a unilateral complete cheiloschisis and palatoschisis, more commonly known as a cleft lip and palate.  Where her perfect, beautiful nose should have been was an empty, gaping ...

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Unfortunately, measles is in the news again. Measles is a very contagious viral illness that causes a high fever, rash, cough, and a runny nose. Complications include pneumonia, brain inflammation and death. Prior to 1963 there were hundreds of thousands of measles cases in the U.S. annually, causing hundreds of deaths. In 1963 the measles vaccine was introduced, leading to an immediate decrease of measles cases in this country. In 2000 measles was ...

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shutterstock_91422131 A thought provoking article in the November, 2014 edition of Pediatrics highlights a growing problem with modern medicine: Just because we can make a diagnosis doesn’t mean we should. The article, titled “Overdiagnosis: How our compulsion for diagnosis may be harming our children,” has been made available for free to everyone. It’s fairly dense and technical, but if you’ve been following this blog ...

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Every fall I write about bronchiolitis because it is one of the most common respiratory ailments affecting infants and children under about two years of age. It is the most common reason infants end up in the hospital during the winter and early spring months. Every year we get severe cases in the PICU. Pediatricians have struggled for decades to figure out how to treat bronchiolitis but we don’t have ...

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Postpartum depression may be a misnomer. A more accurate term might be postpartum neglect -- not by mothers, but of mothers. The human infant is uniquely helpless in the early weeks and months of life. His arms fly up over his head at random moments in a primitive “startle reflex.” His sleep patterns have no rhyme or reason. He eats and poops round the clock. Serving an evolutionary purpose, in part to achieve an upright ...

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