Pediatrics

Leucovorin for autism: Why physicians must protect hope from hype

Conditions

April 3, 2026

In September 2025, The Atlantic reported on a frenzy surrounding leucovorin, a folate derivative long used in oncology and rheumatology. Families desperate for answers were suddenly told it might be a miracle therapy for autism. Waitlists stretched years, clinics were overwhelmed, and hope surged. The problem was not just scientific, it was political. When President Trump and HHS Secretary Robert F. Kennedy Jr. endorsed leucovorin, they amplified demand …

When the doctor is also the patient’s mom: Navigating severe autism

Joele Tueno Scott

Conditions

April 1, 2026

Today I received a call from my son’s school informing me that he had been suspended for injuring his teacher and hurting another staff member. The week prior, I had received multiple calls requesting that I pick him up early due to escalating behaviors.

My story is not unique. Across the country, parents of children with autism navigate aggressive outbursts, elopement, self-harm, and school suspensions. We juggle IEP meetings, medication adjustments, …

Pediatric home health care oversight: Why accountability is failing

Ashley Youngdale

Conditions

March 26, 2026

When my medically complex son Declan came home from the hospital, he needed round-the-clock care, 24 hours a day, 365 days a year. A full-time worker puts in about 1,960 hours a year, assuming 40 hours a week minus vacation and holidays. Each year has 8,760 hours. That means caring for Declan required an equivalent of 4.47 full-time employees every year.

In Minnesota, where we live, for even the highest-acuity cases, …

Communicating health to children: a pediatrician’s guide for parents

Joey Skelton, MD

Conditions

March 24, 2026

An excerpt from Your Child Is Not Their Weight: Parenting in a Size-Obsessed World, with permission from the American Academy of Pediatrics, 2026.

A friend and colleague who is a doctor in adult medicine made this comment to me several years ago: “My patients with kids have a harder time with their health than those who do not have kids!”

I pointed out to her that the “patients with kids” she …

The danger of detachment: How medical training reveals character

Ronald L. Lindsay, MD

Physician

March 22, 2026

In 2016, Lauren Gambill wrote on KevinMD about being told, “She is not yours to grieve,” after a patient’s death. The message was clear: Grief was weakness, and physicians were expected to suppress it. Nearly a decade later, Arthur Lazarus argued that medical training does not change personality; it reveals scaffolding. He cited a “Blue Bloods” episode where Danny Reagan dismissed a racist watch leader and former cop with the …

Why the Oregon National Primate Research Center is shutting down

Marge Peppercorn, MD

Physician

March 18, 2026

Update from Oregon Health & Science University:

Oregon Health & Science University clarifies that no decisions have been made about the Oregon National Primate Center at OHSU.

In February, the OHSU Board of Directors authorized the university president to enter discussions with the National Institutes of Health about the possibility of transitioning the ONPRC to a primate sanctuary.

The board passed a resolution to begin a six-month timeframe for the parties to develop …

Shift from universal to optional vaccination risks normalizing preventable disease [PODCAST]

The Podcast by KevinMD

Podcast

March 17, 2026

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Medical student Umayr R. Shaikh discusses his article “The impact of CDC’s new childhood immunization guidance.” Umayr argues that recent CDC changes, moving vaccines like flu, Hep B, and meningococcal from universal …

Adult disability care transition: Why medicine must grow up

Ronald L. Lindsay, MD

Conditions

March 16, 2026

“Let’s Fly.” Captain Burnham’s words on the USS Discovery were more than a command. They were a declaration of trust, of forward motion, of refusing paralysis.

That is the question before us now: What happens when children with disabilities grow up?

For decades, pediatrics treated disability as a childhood condition. The grant language, the fellowship training, the systems of care, all built on the assumption that disability ends at eighteen. But children …

Why medicine ignores its Cassandras: a case study in health disparities

Ronald L. Lindsay, MD

Conditions

March 9, 2026

Cassandra saw the future. No one believed her. Medicine has its Cassandras too, clinicians who name the failures before anyone else. Their warnings are dismissed, their foresight ignored, until the damage is undeniable.

This essay is built on an AI comparison. It set my 1998 Nisonger grant beside my 2025 testimony. The themes are identical: health disparities, economic justice, ethics, listening to families. I named them then. I name them now. …

Leadership in action: How a broken pager fixed a hospital

Ronald L. Lindsay, MD

Physician

February 24, 2026

Sometimes, the smallest failures expose the largest truths. At a remote Air Force base hospital, a silent pager revealed not my incompetence, but my supervisor’s lack of leadership, and set in motion a chain of events that reshaped the hospital’s command structure and ultimately influenced the future of Air Force pediatrics.

What began as a malfunction during an award ceremony became the catalyst for decisive leadership, a reorganization of medical services, …

The pause medicine never taught us to take

Mary Wilde, MD

Physician

February 17, 2026

As physicians, most of us do not need another Zoom webinar on burnout; we need open space.

Even at the earliest stages of training, we are made to feel that we cannot take a break. In a med school course I teach, I assigned a renewal activity with a short reflection. Some protested, but most expressed gratitude for an assigned pause.

Many admitted how afraid they felt to step away, to take …

The honest broker in pediatrics: Building the medical home

Ronald L. Lindsay, MD

Physician

February 17, 2026

When I arrived at a regional military hospital, it was not a dispensary or a community clinic. It was the referral hospital for the northern tier missile and bomber bases, positioned just below the major medical centers. We were second tier, but the stakes were global.

Into that setting, I brought the medical home and a mini-developmental clinic. Through a program for exceptional family members, families from around the world found …

Pediatric care in Ghana: Addressing malnutrition and sickle cell disease

Benedicta Yayra Adu-Parku

Conditions

February 15, 2026

In Accra, Ghana, the ward glowed ocean blue under phototherapy lamps. Chlorhexidine lingered in the air, cardboard rustled beneath a mother’s thin blanket, and the soft gasp of a preterm infant punctuated the hum of monitors. A baby’s drool pooled at the corner of her mouth; when my gloved fingers brushed her cheek, she flinched. Her body spoke a language beyond words, and her mother translated every twitch with love.

Behind …

The impact of CDC’s new childhood immunization guidance

Umayr R. Shaikh, MPH

Conditions

February 10, 2026

For most of my life, preventable infectious diseases existed at the margins of medicine. Influenza was seasonal but manageable. Hepatitis outbreaks were contained. Childhood hospitalizations from rotavirus or meningococcal disease were rare enough to be notable. COVID-19 may have shattered predictability, but even then, many of us believed the lessons we learned would be followed by renewed investment in prevention.

Instead, we now stand at a crossroads.

A crossroads in prevention

Recent guideline …

When language becomes the barrier: IMGs and autism diagnoses

Ronald L. Lindsay, MD

Conditions

February 9, 2026

I once left grand rounds with a donut and a fake pager buzz because I couldn’t understand the speaker, who often was a natural Mandarin or Arabic speaker. Humor aside, this was not just my problem; it was a systemic failure.

I have spent decades in developmental-behavioral pediatrics, and one truth has never changed: Communication is the currency of medicine. Without it, trust collapses.

International medical graduates (IMGs) are vital to our …

Why scale of effort matters more than ego in health care

Ronald L. Lindsay, MD

Physician

February 4, 2026

The inventor of the Post-it note deserves a medal. Not for convenience, but for clarity. In my practice, those little squares became tactical weapons, bright flags of truth in a sea of institutional delusion. My mother once told Kathy, before our wedding, never to touch the scraps of paper I left everywhere. She understood that my visual memory depended on those markers. Each Post-it was a breadcrumb, a map, a …

From pediatrics to geriatrics: How treating children prepared me for dementia care

Loretta Cody, MD

Physician

February 3, 2026

As a pediatrician, I spent many years in a busy, at times hectic, mostly enjoyable practice before retiring and segueing into teaching. Now as an adjunct professor in pediatrics, I aspire to help future health care workers pursue a career in pediatrics.

I have often asked myself: Have I missed anything about the day-to-day of practicing pediatrics?

My answer was what I truly missed were the interactions I had with the children: …

Why AAP funding cuts threaten the future of pediatric health care

Umayr R. Shaikh, MPH

Policy

February 2, 2026

During my pediatrics rotation in my third year of medical school, the most important skill I learned was how to listen more carefully.

Children rarely have the language or power to fully articulate their needs. They are forced to rely on adults, systems, and institutions to advocate on their behalf. In pediatrics, that responsibility is not an abstract idea. It shows up in exam rooms where parents must choose to pay …

A blueprint for pediatric residency training reform

Ronald L. Lindsay, MD

Physician

January 31, 2026

The false promise of efficiency

The latest punditry calls for three-year medical schools, stripped of ethics and other vital subjects, with less clinical training. The rationale? Efficiency. The result? A generation of physicians unprepared for the complexity of children’s lives.

General pediatricians themselves admit in published surveys that they “know squat” about developmental-behavioral pediatrics (DBP) after residency. Yet the proposed solution is to shorten training further. That is not reform; it is …

Why I chose disruption over conformity in medicine

Ronald L. Lindsay, MD

Physician

January 25, 2026

I am no poster boy. I deal with significant physical challenges and mobility issues. The toll continues. I face major medical procedures in the coming year, the price of decades spent serving others while refusing to serve the system. I am actively planning my eventual funeral, which many in my field are likely looking forward to. I served the people, not the system. That choice was the death knell for …

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