Improving health outcomes for children requires us to look at the big picture

It was a simple chief complaint: sore throat and fever. As expected, the little girl’s rapid Strep was positive. Instructions given. Antibiotics sent. This was Peds 101. But for some reason, before mom walked out the door, she made mention of their stay at the shelter.

Although I had seen this child many times before, somehow, I never knew that she was homeless. Nothing in my detailed history and exam had …

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