Every specialty has its burden, and pediatric endocrinology’s is obesity. Primary care providers refer because they or the child’s parents suspect the cause is hormonal. It almost never is. The overly adipose child invariably has, using older terminology, exogenous obesity.
Traditionally, this has implied excessive calorie intake and inadequate expenditure (the “overactive fork and underactive foot”), arising from sloth and gluttony. I don’t share this belief. Over the years, I have …
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I intended to write an essay endorsing the clinical examination (CE), but recent personal events have made me reconsider. I had outpatient sinus surgery and developed chest pain the next day, leading me to my local rural hospital’s emergency department (ED). The ED physician diagnosed atrial fibrillation, and a CT scan revealed a small pulmonary embolus. I was then transferred to a city hospital and eventually cardioverted to sinus rhythm.
Despite …
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In the tale of the Pied Piper of Hamelin, the piper tunefully leads the children astray and to their doom.
Well, the piper has returned. Actually, he has been back for several years, but few noticed. This time he is not making off with the children but rather the beds they lie in, specifically pediatric hospital beds. This was not really obvious except to pediatricians until the recent calamitous “triple epidemic” …
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I see there has been yet another measles outbreak; at the time of writing, the count is 59 in central Ohio. All are either unvaccinated or not fully vaccinated. No doubt local pediatricians are being flooded with worried parents proffering their offspring for viewing with the statement, “Could this rash be measles, doctor?”
This certainly happened to me in 2019 when doing some primary care practice. That year experienced a massive …
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Every pediatrician is familiar with this endemic seasonal virus, expecting to see several cases in their office during the winter months and maybe even admit the occasional one for inpatient care. Even amongst the latter, most do well and recover without incident, though the stay can be prolonged.
However, the respiratory syncytial virus — when it causes pneumonia and bronchiolitis (inflammation of the small airways — can result in serious illness …
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Unfortunately, at least from where I sit, suboptimal medical care seems to abound. And every encounter of my family members with the health care behemoth is an opportunity for them to become a recipient of it.
When it comes to shielding them, I have had some failures in the past — it took a minor stroke in my father, who lived in England, for me to realize that he had never …
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