“I want to hurt myself.”

That was the only thing written on an otherwise blank page. The other day, the mother of a bright second grader, showed me that alarming note.  Apparently the boy wrote it at his school. She went on to tearfully explain that her child has constantly been bullied ever since joining the institution. Sadly, it is not uncommon to encounter such stories when your profession is ...

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I have now been a “Tweetiatrician” for six weeks. Yes, I am a relatively late adopter of new social media technology but it’s been quite an education. I signed up for Twitter after the measles outbreak in Disneyland to join in on Wendy Swanson’s #MeaslesTruth twitterstorm to encourage families to vaccinate their children. Since that time, I have joined followed conferences from afar (which is really useful) and tweeted primarily about ...

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Alarming headlines, based on a recent study, declare that diagnosis with ADHD doubles the risk of early death. Psychiatrist Stephen Faraone, commenting on the original study published in the Lancet, concludes that: “for clinicians early diagnosis and treatment should become the rule rather than the exception.” This conclusion represents a false assumption that the deaths occurred in cases that were not treated. The large cohort study in Denmark, that looked at records of ...

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medpagetodayFrom MedPage Today:

  1. EHRs Take Center Stage in Battle to Control Hypertension. How did a group of community health clinics with a low-income and uninsured population and frequent no-shows achieve a hypertension control rate among the best in the country? Electronic health records.
  2. How Do You Bill For Teaching Parents? "When you ...

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When I was in kindergarten, my school bus used to drop me off at the hospital where my mother worked.  My older sister and I would sit quietly in my mom’s office and do our homework while she finished up her work.  Most of my friends would get stickers or McDonald’s for their good behavior, but if my sister and I were on our best behavior, my mom would reward ...

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Thanks to the measles outbreak, the news is full of stories on vaccines and anti-vaxxers. The blogosphere and Twitterverse and all the other social media dimensions are buzzing with invective against ignorant unvaccinated savages and their backward science denial. For the record, I’m a pro-vaccine physician. My children have been and are vaccinated, despite being unsocialized homeschoolers. I’ve had my own share of needles; Physicians are mandated to have hepatitis B, ...

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It happens every once in a while in my practice: Parents ask if we can delay or skip certain vaccines, or spread them out. According to a study just published in the journal Pediatrics, I'm not alone -- in fact, 93 percent of pediatricians get asked the same thing. Now, it's important to point out that most families don't ask for this. Most families are fine with the current vaccine schedule -- ...

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You’ve likely seen the Jimmy Kimmel “public service announcement” on vaccines. Over 3 1/2 million people have viewed it on Youtube so if you’re not yet one of them you’ll likely add to the tally now. The first 3 minutes of the monologue are spot-on, and they’re also very funny. Jimmy takes a stand against the “anti-vaxxers.” He mentions that some parents are more scared of “gluten than small pox” ...

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To the staff overseeing my medically-complex child, My child has been in this world much longer than you expected; thus I’ve been in this relationship with you much longer than I expected. If I could break up with you and find someone new, believe me I would (I’m sure so would you some days). But that isn’t possible; we’re in a dysfunctional relationship. If we recognize this together and just come to an ...

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Dear doctor no longer seeing vaccine-hesitant families, I know that creating your “no tolerance” office-wide vaccine policy was not easy or came without soul-searching. I can only imagine the heated boardroom meetings and passionate arguments throughout the weeks the policy was being drafted. I trust it is because of your support and love for the families you currently care for that you felt the need to create the policy, and it ...

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