When a baby arrives dead in your emergency department ... ... the world stops. You stop breathing. You are gasping for air. She is limp; she is cool; she is pulseless. Chest compressions on the tiniest six month old I have ever met are done with the finger pads of my index finger and middle finger. Quick, synchronized beats. I look at her blue, blue lips. It should never be like this. Her eyes ...

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Most doctors well into their tenure of medical already have a general idea about how other specialists spend their days (except for radiation oncologists, where no one else knows what they do).  However, as a medical student, I had incredibly limited insight into the variety of means to practice medicine. Even as an attending physician, I am still discovering how creative some medical specialties allow one to be.  For instance, ...

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Heart health starts in childhood to avoid cardiovascular disease, hypertension, obesity, and diabetes. Kids today have developed so many bad health habits that they are facing heart attacks in their 30s. Many experts predict they will be the first generation to have a lower life expectancy than their parents.  But it doesn’t need to be this way. Parents like you have a significant influence over your kid’s habits. By modeling ...

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You may have noticed your child seems to be bored of their bag lunch and most of it being brought back home or dumped in the garbage. Lunch is an important meal to get kids the energy they need to get through the second half of the school day. Strive to include some protein, fruits, veggies and healthy sources of fats. Now, you don’t have to buy gourmet or even ...

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I lost my sense of empathy when I worked as a pediatrician in a pediatric emergency department caring primarily for low-acuity patients. I worked there for ten years, but it only took about three years before I realized that while I could help kids with their symptoms, I couldn’t do anything about the reasons they were in the ED at 3 a.m. These kids don’t have reliable transportation to get ...

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My story makes even the hardened among us cringe ... but I am not here to tell you that story. My real story begins after. In order to stand up for my values, I recently walked away from a booming practice. What I had built felt sacred to me, almost miraculous. As a pediatrician, I realize it is no small matter that parents entrust me with the care of their children. ...

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My husband recently found a bag of breast milk in the freezer as he scrounged for dinner ingredients. This milk was pumped over four years ago for my third baby who turns five next week. Just like I did for her older siblings, I religiously pumped breast milk at work until her first birthday. On the day that she turned one, I stopped lugging my pump bag to work, stopped ...

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Do you feel like you’re always saying “no” to your child and not getting the response from them that you are looking for? Do you end up repeating yourself over and over, so frustrated you begin to yell or just given in to your toddler's demands? Unfortunately, I hear this way too often from moms, so I wanted to give some tips on the art of saying “no” that will ...

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It’s no secret that in today’s health care market, insurance companies are calling the shots. As a pediatrician in private practice for almost two decades, I’ve seen insurance companies transform into perhaps the single most powerful player in today’s health care landscape -- final arbiters whose decisions about which procedures or medications to authorize effectively end up determining the course of patient care. Decisions made by insurers, such as MassHealth, have ...

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Chances are that if you have kids, you’ve had at least one unplanned visit to the hospital. Taking care of children in the emergency department (ED) is a special challenge for many reasons including the fact that the child’s parents don’t choose to see me specifically, they are usually meeting me for the first time, and they’re meeting me under very stressful circumstances. When I started practicing medicine 20 years ago, ...

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