It’s time again for bronchiolitis, which usually comes in winter through spring. In some ways this problem is similar to asthma, but in other important ways it is very different. With winter upon us it’s time to reacquaint ourselves with this common entity. There is a reliable seasonal arrival of the virus we call RSV, the chief cause of bronchiolitis. The letters stand for respiratory syncytial virus, a description ...

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Ron was puzzled. He had been a mechanic for many years, and had known Ms. McCarthy through two previous vehicles. But what could he say to a request like this? “I don’t see why you wouldn’t want to do it this way. What’s the harm?” The mother of two seemed sincere and earnest. Ron knew she wanted to take good care of her car, and the kids who rode with her ...

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For many of my out-of-school hours as a child, no adult had any idea what I was doing. This has everything to do with who I am today, in some remarkably good ways. As a parent, I can’t help but wince at the lack of supervision I received, especially given what my friends and I did. We spent hours in really tall fir trees, pretending they were houses. I lived on Long ...

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Gastroenteritis, often called “stomach flu,” is common in children. It has nothing to do with influenza, the “true flu,” which is caused by a respiratory virus. Gastroenteritis is caused by a different set of viruses. These viruses are generally transmitted by what physicians call the fecal-oral route, which sounds kind of gross. What we mean by that term is that the bug is in our intestinal tract and gets on our ...

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A recent study in JAMA Pediatrics discovered that conversations about sexual health between a health provider and a teen patient are shockingly short (less than 40 seconds), full of bland yes/no answers, and more likely to occur if the patient is older. The research has put a glaring light on the need for better sex education opportunities during routine teen health visits. I believe all teenagers deserve ...

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As a physician, not a day goes by without a new acronym I need to look up, a new policy I need to follow, another box I need to click or another criteria I need to meet -- and this is just to keep up. While the health care picture and its various unknowns loom ever larger in the news, and health information emails overstuff my inbox, it is worth ...

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As an orthopedic surgeon, I’m acutely aware of the data and conversations surrounding sports-induced concussions, particularly in football. Encouragingly, the medical community is experimenting with proper treatment, diagnosis, and assessing the long-term effects of concussions; recently the NIH announced details of how it would begin using a sizable grant from the NFL for just this purpose. Yet preventing them continues to be a challenge not just at the professional athlete ...

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When the American Academy of Pediatrics came out with new guidelines a couple of years ago extending the age of diagnosis of ADHD (attention deficit hyperactivity disorder) down to age 4, it seemed as if Pfizer might have been waiting in the wings.  Soon after, a new preparation of ADHD medication in an oral suspension, for kids too young to swallow pills, became available. I was a lone voice expressing opposition ...

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Obamacare has promised to provide all of us with quality medical care that is affordable and accessible. The very name of the law is the Affordable Care Act, which I have maintained will be short on both affordability and quality care. Most of the country agrees with me. The postponement for a year of the corporate mandate to provide insurance in businesses with at least 50 full time employees was a ...

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One of my favorite aspects of my developmental pediatrics practice at the  Children’s Evaluation and Rehabilitation Center (CERC) at Einstein is that I have the opportunity to follow children and their families in the clinic over the long term -- often for many years. Because I am the director of the infant ...

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