The allopathic medical system has failed me – as a patient, mother, and physician. Like many physician peers, I entered the health care world with grand visions of healing others. I quickly learned during my clinical rotations in medical school that healing (in the truest sense of the word) was less likely but that helping was still possible. So I rolled up my sleeves and entered pediatric residency, where I …
The power of Play-Doh. This sounds like such an ironic phrase considering the malleability of this childhood favorite. Between several personal trips to the local store, our clinic buying several boxes, and getting donations from one of our amazing third years who has donated books and goodies for our patients since early intern year; we ended up having a plethora of the stuff.
We needed to make room for more spring-focused …
“It’s such a shame that you’ve got all this data, and it goes unpublished … others need to benefit from our results!”
This statement is often repeated, in different forms, across all medicine departments, about the abundance of data from hospitals and clinics. This data, which can be utilized for research purposes, identifying emerging trends, and drawing new conclusions, often goes unpublished, especially in underfunded settings or countries.
Medical schools worldwide place …
One in five children and adolescents will receive a behavioral or mental health diagnosis by 18. That is more than the number of women diagnosed with breast cancer (1 in 8). According to the American Academy of Child and Adolescent Psychiatry, 50 percent of pediatric office visits involve behavioral, social-emotional, or developmental concerns. Seventy percent of behavioral health medications are prescribed by primary care clinicians. However, …
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 …
We are a grassroots advocacy organization of medical students across the country, focused on making health care more equitable for patients in larger bodies. We join the physicians, eating disorder professionals, and community members who raise concerns regarding the AAP’s most recent clinical guidelines, “Clinical Practice Guideline for the Evaluation and Treatment of Children and Adolescents with Obesity.”
The new AAP guidelines are based on science that grossly misrepresents the …
“How was your Thanksgiving?”
This may seem like an odd question to ask at the end of January, but I had not seen Ahmed (not real name) and his mother since his last infant well visit in late October. This family moved to central Ohio about two years ago, escaping the ravages of living in a country that has seen a civil war for the better of 20 years. Ahmed’s mom …
I’m starting to see this trend of podcasts and articles that seem to be raising the white flag against childhood obesity. We should all agree with physicians that these conversations should be approached carefully and thoughtfully. We should agree that there are clear reasons to promote regular exercise and a healthy diet. We should agree with the clear health benefits of maintaining a healthy weight. There are clear mental health …
In residency, we are trained to follow our intuition. In pediatrics, this translates into learning how to recognize a sick kid. Of course, we are taught what to look for on the physical exam and the labs and what protocols to follow, but we are also taught how to listen to our instincts. When our gut tells us we have a sick kid, we don’t overthink; we set into action. …
Timmy’s eyes were rolling side to side in his head as his limp body did not respond to his mother’s calling. He was rushed to the hospital and admitted to the ICU. The 4-year-old ate one of his mother’s cannabis-infused, rainbow-sherbet-flavored gummies and ended up with marijuana poisoning and in a coma. There is no antidote to THC, the psychoactive chemical in cannabis, so Timmy had to wait and detoxify …
The new American Academy of Pediatrics guidelines for childhood obesity have shifted from a “watchful waiting” method to “early and aggressive treatment.” Coverage of the guidelines in the Washington Post, the New York Times, and other reputable news outlets have readily accepted this new depiction of childhood obesity as a disorder in need of immediate, aggressive intervention and has given little or no attention to what …
When I finished my pediatric residency almost 20 years ago, I embarked upon a career in general pediatrics because I didn’t enjoy any particular subspecialty enough to commit my career to it. After spending several years in a mostly outpatient setting (peppered with child abuse consults, circumcisions, and an unsatisfyingly small number of hospitalized patients), I knew I had to change and move across the country to pursue pediatric hospital …
According to a study published in Pediatrics, it is estimated that between 2010 and 2019, more than 70,000 emergency department (ED) visits in the United States were related to battery ingestion, mouth exposure, and ear or nasal insertion among children under 18 years old. ED visits occurred more frequently among children ages five years and younger. Button-type and lithium coin batteries—typically small, round, flat, or disc-shaped—are found in toys, …
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In this episode, we have a special guest, Laura Fernando, a patient advocate, who shares her heart-wrenching story of her daughter Lily’s medical journey with COVID-19 and other health conditions. Joining her and Lily is Linda Bluestein, …
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 …
For those who haven’t yet seen Hulu’s dramatic series Fleishman Is in Trouble, it’s really about the different forms of existential crises people face in middle age. The show contemplates the challenges of maintaining a marriage, parenting in the digital age, job dissatisfaction, and suburban listlessness, and how a responsible adult might reconcile these dilemmas and chart a new course forward. It manages to explore these weighty themes with earnestness …
We previously reported about the national baby formula shortage that began in February 2022 and lasted for several months, affecting countless infants, parents, and caregivers and intensifying distress amid the ongoing COVID-19 pandemic. In fact, these supply chain disruptions were largely exacerbated by the novel coronavirus for numerous industries, including the food and infant care sectors, thereby further compounding the already precarious situation. As a result, these industry-wide shortages …
My daughter was born with cystic fibrosis (CF). CF has been a catastrophic disease, historically fatal in childhood. CF is not pretty; it affects nearly every organ system, slowly and systematically damaging them. People with CF have thick, sticky mucous, which clogs their airways, pancreatic ducts, sinuses, and intestines. This mucous causes numerous health issues.
CF has been around for a long time. In the Middle Ages, a poem warns parents, …
It is common to get some nipple discomfort at the start of breastfeeding. Babies and moms are learning how to do this new skill, and sometimes they just don’t get it right, and nipple damage can occur. If caught and adjusted early, this can clear up quickly, but in the meantime, women can have cracks, bleeding, and extreme sensitivity to their nipples.
All Purpose Nipple Ointment – otherwise known as APNO …
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